Individual
ANNE E CHARD-PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
597 3RD AVE, TROY, NY 12182-2509
(518) 233-0544
Mailing address
597 3RD AVE, TROY, NY 12182-2509
(518) 233-0544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005308-1
NY
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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