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Diana Dorothy Stoll, MSOT, OTR/L

Occupational Therapist in Bohemia, NY. Individual provider (NPI-1).

NPI number1154899862
StatusActive
Last updated in NPPESNov 12, 2018

Details

NPI
1154899862
Entity type
Individual (NPI-1)
Name
Diana Dorothy Stoll
Credential
MSOT, OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 12, 2018
Last updated
Nov 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist023106NYYes

Practice location

75 Nathan Dr
Bohemia, NY 11716-1317

Phone 631-704-7079

Mailing address

75 Nathan Dr
Bohemia, NY 11716-1317

Phone 631-704-7079

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