Gabrielle Nicole Manfredi, OTR/L
Occupational Therapist in Staten Island, NY. Individual provider (NPI-1).
NPI number1669930780
StatusActive
Last updated in NPPESMar 7, 2019
Details
- NPI
- 1669930780
- Entity type
- Individual (NPI-1)
- Name
- Gabrielle Nicole Manfredi
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2019
- Last updated
- Mar 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 023332 | NY | Yes |
Practice location
3391 Richmond AveStaten Island, NY 10312-2025
Phone 631-786-0143
Mailing address
14 Brasswood RdSaint James, NY 11780-3410
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