Individual
MS. KAYLEE HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8 CROWN ST, NORTH BABYLON, NY 11703-1803
(631) 767-3353
Mailing address
8 CROWN ST, NORTH BABYLON, NY 11703-1803
(631) 767-3353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007933
NY
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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