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NPI Code Detail

MEDICARE: MISS JUANA LABOY OTR

MEDICARE:  MISS JUANA  LABOY  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist002023NY

General Provider Information

NPI Number : 1710188115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JUANA LABOY OTR
Provider Business Mailing Address
First Line : 1 URBANS RD
Second Line :
City : SOUND BEACH
State : NY
Zip : 11789-1138
Country : US
Telephone Number : 631-821-3440
Fax Number :
Provider Business Practice Location Address
First Line : 1 URBANS RD
Second Line :
City : SOUND BEACH
State : NY
Zip : 11789-1138
Country : US
Telephone Number : 631-821-3440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2007
Last Update Date : 07/08/2007

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Directions to “ MISS JUANA LABOY OTR” Practice Location

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