Erin White-Fomin, OTR

NPI #1629231097 in Lake Success, New York

Provider Information

NPI Number: 1629231097
Entity Type: Individual
Name: Erin White-Fomin, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Jul 7, 2008
Last Updated: Jul 7, 2008

Practice Location

Address: 1979 MARCUS AVENUE SUITE 204
City: Lake Success
State: New York
ZIP Code: 11042-1002
Phone: (516) 327-4681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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