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Individual

MISS CLAIRE RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
1942 OLD DEKALB ROAD, NEW DIMENSIONS IN HEALTH CARE, CANTON, NY 13617
(315) 386-3529
(315) 386-4071
Mailing address
PO BOX 46, RENSSELAER FALLS, NY 13680
(315) 244-9937

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0106571

Other

Enumeration date
10/24/2006
Last updated
07/08/2007
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