Individual
MRS. PATRICIA L CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
145 TUTHILL RD, BLOOMING GROVE, NY 10914-0173
(845) 496-2446
Mailing address
PO BOX 173, BLOOMING GROVE, NY 10914-0173
(845) 496-2446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007648-1
NY
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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