MR. Bart Gerard Pontecorvo, OTR/L

NPI #1154570315 in Centereach, New York

Provider Information

NPI Number: 1154570315
Entity Type: Individual
Name: MR. Bart Gerard Pontecorvo, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Sep 11, 2008
Last Updated: Sep 11, 2008

Practice Location

Address: 40 DRAKE RD
City: Centereach
State: New York
ZIP Code: 11720-2306
Phone: (631) 241-4021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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