Individual
DIANE ELIZABETH CUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
35 CARMAN RD, DIX HILLS, NY 11746-5651
(631) 549-5580
Mailing address
140 CAMBON AVE, SAINT JAMES, NY 11780-3042
(631) 724-6398
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000496-1
NY
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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