Individual
ELAINA NOELLE FISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
929 YORK ST, UTICA, NY 13502-3929
(315) 520-0420
Mailing address
2811 BRIGHTON PL, UTICA, NY 13501-6517
(315) 520-0420
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
023802
NY
Other
Enumeration date
09/04/2019
Last updated
01/04/2024
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