Individual
KATRINA IVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 ROUTE 32, CENTRAL VALLEY, NY 10917-3201
(845) 827-6364
Mailing address
100 HILLSIDE DR APT D6, MIDDLETOWN, NY 10941-1333
(518) 902-9860
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009837
NY
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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