Individual
MS. NICOLE ANTOINETTE DACRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 MAIN ST, POUGHKEEPSIE, NY 12601-3018
(845) 454-7600
Mailing address
8 DILLON CT, WAPPINGERS FALLS, NY 12590-3502
(201) 961-4754
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007189
NY
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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