Diana Dorothy Stoll, MSOT, OTR/L

NPI #1154899862 in Bohemia, New York

Provider Information

NPI Number: 1154899862
Entity Type: Individual
Name: Diana Dorothy Stoll, MSOT, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MSOT, OTR/L
Enumeration Date: Nov 12, 2018
Last Updated: Nov 12, 2018

Practice Location

Address: 75 NATHAN DR
City: Bohemia
State: New York
ZIP Code: 11716-1317
Phone: (631) 704-7079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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