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Jennifer Marie Defeo, OTR/L

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

NPI number1528087673
StatusActive
Last updated in NPPESMar 13, 2008

Details

NPI
1528087673
Entity type
Individual (NPI-1)
Name
Ms. Jennifer Marie Defeo
Credential
OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 19, 2006
Last updated
Mar 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist013321NYYes

Practice location

123 W Walnut St
Farmingdale, NY 11735-3142

Phone 516-641-3058

Mailing address

123 W Walnut St
Farmingdale, NY 11735-3142

Phone 516-641-3058

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