Individual
MRS. ROBYN RENEE STURDEVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
5967 ENNIS RD, DURHAMVILLE, NY 13054-3111
(315) 363-2028
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
003054
NY
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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