Individual
COLLEEN R SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
270 LAKE ST, PENN YAN, NY 14527-1832
(315) 536-2601
Mailing address
270 LAKE ST, PENN YAN, NY 14527-1832
(315) 536-2601
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004217-1
NY
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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