Individual
MS. JANEMARIE SQUILLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A./L
Contact information
Practice address
77 E MAPLE AVE, SUFFERN, NY 10901-5609
(845) 709-3990
Mailing address
77 E MAPLE AVE, SUFFERN, NY 10901-5609
(845) 709-3990
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09029300
NJ
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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