Individual
ANDREA NICOLE FAULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2 COUNTRY CLUB RD, QUEENSBURY, NY 12804-1702
(518) 926-2005
(518) 926-2020
Mailing address
21 PALMER TER, GANSEVOORT, NY 12831-1767
(518) 598-2735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024519
NY
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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