Mary Squillace, OT
NPI #1700035862 in Long Beach, New York
Provider Information
- NPI Number
- 1700035862
- Entity Type
- Individual
- Name
- Mary Squillace, OT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Credential
- OT
- Enumeration Date
- Sep 13, 2008
- Last Updated
- Sep 13, 2008
Practice Location
- Address
- 710 LINCOLN BLVD
- City
- Long Beach
- State
- New York
- ZIP Code
- 11561-2316
- Phone
- (516) 889-6939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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