Individual
EMMA SOMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
319 BROADWAY, FORT EDWARD, NY 12828-1221
(518) 747-2811
Mailing address
11 MORTON ST, GLENS FALLS, NY 12801-3456
(215) 791-4814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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