Individual
GWEN EICHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 ODAK FARM RD, MILAN, NY 12571-4026
(518) 622-8382
Mailing address
235 ODAK FARM RD, MILAN, NY 12571-4026
(518) 622-8382
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005685-1
NY
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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