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Jessica Campo, OTR/L

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

NPI number1780156265
StatusActive
Last updated in NPPESDec 21, 2018

Details

NPI
1780156265
Entity type
Individual (NPI-1)
Name
Jessica Campo
Credential
OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 21, 2018
Last updated
Dec 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist023160-1NYYes

Practice location

217 Ivy Meadow Ct
Middle Island, NY 11953-1616

Phone 631-804-1934

Mailing address

217 Ivy Meadow Ct
Middle Island, NY 11953-1616

Phone 631-804-1934

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