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Individual

JULIA ALLISON CYRILLA ASHLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
711 TROY SCHENECTADY RD STE 216, LATHAM, NY 12110-2461
(518) 786-1665
Mailing address
114 RIVERWALK WAY UNIT 9, COHOES, NY 12047-3336
(518) 590-4341

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08041412
NY
Enumeration date
03/01/2024
Last updated
02/05/2025
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