Gina Marie Desilva, MS

NPI #1518100627 in Holbrook, New York

Provider Information

NPI Number: 1518100627
Entity Type: Individual
Name: Gina Marie Desilva, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MS
Enumeration Date: Apr 20, 2009
Last Updated: Apr 20, 2009

Practice Location

Address: 129 AVENUE C
City: Holbrook
State: New York
ZIP Code: 11741-1413
Phone: (516) 503-9550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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