Phaedra Luna

NPI #1043615487 in Selden, New York

Provider Information

NPI Number: 1043615487
Entity Type: Individual
Name: Phaedra Luna
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 28, 2014
Last Updated: Oct 28, 2014

Practice Location

Address: 260 MIDDLE COUNTRY RD
Address 2: BLDG 3 SUITE 9-A
City: Selden
State: New York
ZIP Code: 11784-2568
Phone: (631) 732-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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