Individual
ANNALISA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
435 GLENWOOD RD, BINGHAMTON, NY 13905-1699
(607) 763-3300
Mailing address
158 FOREST HILL RD, APALACHIN, NY 13732-1832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026439
NY
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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