Individual
MRS. MARY KATHERINE LANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
22 E LAKE ST, SKANEATELES, NY 13152-1305
(315) 685-7928
Mailing address
201 CLARK LN, CAMILLUS, NY 13031-2409
(315) 488-4342
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002100-1
NY
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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