Individual
DANIELA ROSE MALLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
454 ELTINGVILLE BLVD, STATEN ISLAND, NY 10312-2108
(718) 909-5746
Mailing address
454 ELTINGVILLE BLVD, STATEN ISLAND, NY 10312-2108
(718) 909-5746
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021925
NY
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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