Individual
COLLETTE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 PARK AVE, YONKERS, NY 10703-3401
(914) 376-4300
(914) 965-7059
Mailing address
78 BROOKSIDE AVE APT 2, MOUNT VERNON, NY 10553-1319
(914) 668-7324
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005952
NY
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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