Individual
MS. ELLEN DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 NYS RTE 13, CORTLAND, NY 13045-9617
(607) 758-5112
Mailing address
1710 NYS RTE 13, CORTLAND, NY 13045-9617
(607) 758-5112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002260-1
NY
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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