Jeannie Fan, OTR-L

NPI #1891341426 in Williston Park, New York

Provider Information

NPI Number: 1891341426
Entity Type: Individual
Name: Jeannie Fan, OTR-L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR-L
Enumeration Date: Aug 9, 2019
Last Updated: Jun 2, 2025

Practice Location

Address: 46 BRUNSWICK AVE
City: Williston Park
State: New York
ZIP Code: 11596-1501
Phone: (917) 828-1741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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