Individual
DEANA NEEDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
497 ELTINGVILLE BLVD, STATEN ISLAND, NY 10312-2109
(917) 579-9477
Mailing address
497 ELTINGVILLE BLVD, STATEN ISLAND, NY 10312-2109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01087500
NJ
Other
Enumeration date
10/04/2022
Last updated
10/06/2022
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