Individual
DELWIN JOHN MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
888 CLIFFSIDE AVE, VALLEY STREAM, NY 11581-3048
(347) 678-7852
Mailing address
888 CLIFFSIDE AVE, VALLEY STREAM, NY 11581-3048
(347) 678-7852
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005675-01
NY
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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