DR. Richard Lance Whalley, OTD, OTR/L

NPI #1215556428 in Ronkonkoma, New York

Provider Information

NPI Number: 1215556428
Entity Type: Individual
Name: DR. Richard Lance Whalley, OTD, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTD, OTR/L
Enumeration Date: Apr 9, 2020
Last Updated: Apr 9, 2020

Practice Location

Address: 622 HAWKINS AVE
City: Ronkonkoma
State: New York
ZIP Code: 11779-2374
Phone: (631) 240-3579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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