Individual
CHRISTA GRACE KEARSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
574 OLD BEST RD, WEST SAND LAKE, NY 12196-2213
(845) 519-5053
Mailing address
574 OLD BEST RD, WEST SAND LAKE, NY 12196-2213
(845) 519-5053
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021389-1
NY
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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