Individual
KELLEY LEMYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 782-1178
Mailing address
102 3RD AVE, RENSSELAER, NY 12144-2410
(518) 423-1595
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008374-1
NY
Other
Enumeration date
03/16/2014
Last updated
03/16/2014
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