Individual
MRS. ASHLEY NICOLE STIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 RAPP RD, ALBANY, NY 12203-4491
(518) 867-3061
Mailing address
342 COUNTY ROUTE 401, WESTERLO, NY 12193-3002
(518) 810-5218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
350542
NY
Other
Enumeration date
11/02/2015
Last updated
10/24/2018
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