Kimberky Lanza, COTA/L

NPI #1730497884 in Deer Park, New York

Provider Information

NPI Number
1730497884
Entity Type
Individual
Name
Kimberky Lanza, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Contractor
Credential
COTA/L
Enumeration Date
Sep 22, 2010
Last Updated
Sep 22, 2010

Practice Location

Address
1 BRANDYWINE DR
ZIP Code
11729-5721
Phone
(631) 362-0081

Specialties & Taxonomy Codes

Specialty
Contractor

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