Individual
PHILIP GREGORY LEDONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,OTR/L
Contact information
Practice address
2 PLEASANTVIEW DR, BAYVILLE, NY 11709-1504
(516) 459-5932
Mailing address
2 PLEASANTVIEW DR, BAYVILLE, NY 11709-1504
(516) 459-5932
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011958-1
NY
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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