Denise A Supon, OT
Occupational Therapist in New York, NY. Individual provider (NPI-1).
NPI number1477761237
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1477761237
- Entity type
- Individual (NPI-1)
- Name
- Ms. Denise A Supon
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 005379-1 | NY | Yes |
Practice location
620 E 13th StNew York, NY 10009-3615
Phone 212-674-5280
Mailing address
1963 77th StEast Elmhurst, NY 11370-1206
Phone 718-956-1350
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