Individual
MRS. COLEEN LYNN WATERHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 HARRIS RD., CORINTH, NY 12827
(518) 654-6424
Mailing address
311 HARRIS RD., CORINTH, NY 12827
(518) 654-6424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004670-1
NY
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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