Patricia L Conrad COTA

NPI 1063795433 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1063795433
Gender Female
Enumeration Date 09/22/2011
Last Updated 09/22/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
145 TUTHILL RD
BLOOMING GROVE NY, 10914-0173, US
Phone (845) 496-2446
Fax
Business Location
PO BOX 173
BLOOMING GROVE NY, 10914-0173, US
Phone (845) 496-2446
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State New York
License Number 007648-1
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According to our database, Mrs. Patricia L Conrad COTA NPI is 1063795433, taxonomy code is 224Z00000X and license number is 007648-1, license state is located at New York. Patricia L Conrad COTA physically located at 145 Tuthill Rd, Blooming Grove NY, 10914-0173. NPI Number Patricia L Conrad COTA has the Individual type.

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1063795433 NPI number is provided on an as is basis without warranty of any kind. 1063795433 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia L Conrad COTA are for informational purposes only.