Individual
MELANIE G FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
178 UNION AVE, NEW WINDSOR, NY 12553-7017
(845) 838-3477
Mailing address
178 UNION AVE, NEW WINDSOR, NY 12553-7017
(845) 562-5131
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001201-1
NY
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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