Individual
CORINNE MONTANA-STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
395 SUNKEN MEADOW RD, KINGS PARK, NY 11754-1000
(516) 662-6092
Mailing address
4247 CLARISSA RD, BETHPAGE, NY 11714-6203
(516) 662-6092
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/22/2020
Last updated
03/22/2020
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