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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHAEDRA LUNA

Active Sole Proprietor

PHAEDRA LUNA is a Occupational Therapist healthcare provider located in SELDEN, New York. NPI 1043615487 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SELDEN, NY

Registration Details

NPI Number
1043615487
Provider Type
Individual
Gender
Female
NPI Issued
Oct 28, 2014 (11.612723077785 yrs)
Last Updated
Oct 28, 2014
License
018696 (NY)
Sole Proprietor
Yes

Practice Information

Address
260 MIDDLE COUNTRY RD
BLDG 3 SUITE 9-A
SELDEN, NY, 117842568
Browse NY providers · Browse ZIP 11784
Phone
6317321600
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in SELDEN, NY

Name Credential NPI
MR. EDWIN MANUEL DIAZ OTRL 1992823520
JULIETTE LYN DOHERTY OTR/L 1649431339
MR. DANN THOMAS ROCCO OTR/L 1023269719
KATIE LYNN CONNELLY OTR 1104178128
MISS ZOE SPEED OTR/L 1114326378
MEGHAN E WRIGHT OT 1124630835
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.