Shannon Marie Desantis M.S, OTR/L

NPI 1467605303 - Occupational Therapist - 225X00000X

NPI Details
NPI 1467605303
Gender Female
Enumeration Date 10/23/2008
Last Updated 03/01/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
264 ATLANTIC AVE
MASSAPEQUA PARK NY, 11762-1822, US
Phone (516) 798-1088
Fax
Business Location
264 ATLANTIC AVE
MASSAPEQUA PARK NY, 11762-1822, US
Phone (516) 798-1088
Fax
Toxanomy
Taxonomy Code 225X00000X
License State New York
License Number 014420
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According to our database, Shannon Marie Desantis M.S, OTR/L NPI is 1467605303, taxonomy code is 225X00000X and license number is 014420, license state is located at New York. Shannon Marie Desantis M.S, OTR/L physically located at 264 Atlantic Ave, Massapequa Park NY, 11762-1822. NPI Number Shannon Marie Desantis M.S, OTR/L has the Individual type.

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1467605303 NPI number is provided on an as is basis without warranty of any kind. 1467605303 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Marie Desantis M.S, OTR/L are for informational purposes only.