Individual
LAURA MASSONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
40 HENRIETTA BLVD, AMSTERDAM, NY 12010-1111
(518) 843-3003
Mailing address
7G KINGDOM WAY, MECHANICVILLE, NY 12118-3149
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
022392
NY
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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