Individual
EILEEN SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2492 COUNTY HIGHWAY 107, AMSTERDAM, NY 12010-6001
(518) 706-9905
Mailing address
2492 COUNTY HIGHWAY 107, AMSTERDAM, NY 12010-6001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002501-1
NY
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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