Individual
LORI D SCHWARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
232 BOWNE ST., PORT EWEN, NY 12466
(845) 334-9645
Mailing address
232 BOWNE STREET, PO BOX 1218, PORT EWEN, NY 12466
(845) 334-9645
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006260-1
NY
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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