Individual
MS. ELIZABETH DAIRE FETHEROLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3 CLIFFVIEW LN, GARDINER, NY 12525-5221
(845) 255-5394
Mailing address
3 CLIFFVIEW LN, GARDINER, NY 12525-5221
(845) 255-5394
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
006105-1
NY
Other
Enumeration date
02/22/2007
Last updated
04/01/2011
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