Individual
MS. ANGELA BEATRICE LAROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
21 EAGLE LN, FARMINGDALE, NY 11735-5906
(516) 807-4043
Mailing address
21 EAGLE LN, FARMINGDALE, NY 11735-5906
(516) 807-4043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7996-1
NY
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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