Individual
RAYANNE LYNN COLATRUGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2260
(315) 622-8641
Mailing address
218 PEAKWOOD LN APT 24, BALDWINSVILLE, NY 13027-3081
(315) 622-8641
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
100473-01
NY
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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