Individual
GWEN ANN STOCKDALE-FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2 ACADEMY STREET, NAPLES CENTRAL SCHOOL DISTRICT, NAPLES, NY 14512
(585) 374-7950
Mailing address
2 ACADEMY STREET, NAPLES CENTRAL SCHOOL, NAPLES, NY 14512-9583
(585) 374-7950
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
002594-1
NY
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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