KEITH M VAN TASSELL, OTR/L
Restorative Service Providers at Demorest Ave, Staten Island, NY

License number
New York 010331-1
Category
Restorative Service Providers
Type
Pediatrics
Address
Address
243 Demorest Ave, Staten Island, NY 10314
Phone
(718) 447-1414
National Provider ID: 1962648568
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Keith M Van Tassell Otr/L

243 Demorest Ave, Staten Island, NY 10314

Industry:
Nonclassifiable Establishments

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