Individual
MS. MARGO M VIVLAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
99 ELM ST, ST JOSEPHS ELEMENTARY, MALONE, NY 12953-1519
(518) 483-7806
Mailing address
4 ISLAND ST PO BOX 95, NORFOLK, NY 13667
(518) 483-7806
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
64005130
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64005130
NYS
NY
Enumeration date
10/04/2010
Last updated
10/04/2010
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