MR. Kenneth Wallace Landeau, COTA/L

NPI #1972617173 in Hauppauge, New York

Provider Information

NPI Number
1972617173
Entity Type
Individual
Name
MR. Kenneth Wallace Landeau, COTA/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Day Training, Developmentally Disabled Services
Credential
COTA/L
Enumeration Date
Aug 18, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
120 PLANT AVE
ZIP Code
11788-3805
Phone
(631) 851-3810

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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