MRS. Lisa Ann Caracciolo, COTA

NPI #1326356510 in Farmingville, New York

Provider Information

NPI Number
1326356510
Entity Type
Individual
Name
MRS. Lisa Ann Caracciolo, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Sep 22, 2010
Last Updated
Sep 22, 2010

Practice Location

Address
48 HILLSIDE RD
ZIP Code
11738-1602
Phone
(631) 793-6767

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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