Individual
MRS. CHRISTINE JUNE MACMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
35 MANITTON CT, ISLIP, NY 11751-3603
(631) 581-1879
Mailing address
35 MANITTON CT, ISLIP, NY 11751-3603
(631) 581-1879
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
010863-1
NY
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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