Avery Lou Gaeta

NPI #1114752078 in Oakdale, New York

Provider Information

NPI Number: 1114752078
Entity Type: Individual
Name: Avery Lou Gaeta
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 2, 2024
Last Updated: Sep 2, 2024

Practice Location

Address: 22 WICHARD DR
City: Oakdale
State: New York
ZIP Code: 11769-1548
Phone: (631) 567-1266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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