Jennifer Campbell
Occupational Therapist, Pediatrics in Lindenhurst, NY. Individual provider (NPI-1).
NPI number1295099554
StatusActive
Last updated in NPPESJul 1, 2012
Details
- NPI
- 1295099554
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Campbell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2012
- Last updated
- Jul 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 011902-1 | NY | Yes |
Practice location
250 S Alleghany AveLindenhurst, NY 11757-5112
Phone 631-867-3200
Mailing address
45 Wood LnLevittown, NY 11756-4432
Phone 516-470-1354
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