Kimberly Decanio

NPI #1538530431 in Nesconset, New York

Provider Information

NPI Number: 1538530431
Entity Type: Individual
Name: Kimberly Decanio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 18, 2015
Last Updated: Oct 18, 2015

Practice Location

Address: 100 SOUTHERN BLVD
City: Nesconset
State: New York
ZIP Code: 11767-1749
Phone: (631) 361-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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