Individual
MS. LYNDA MARIE POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
4725 ENDERS RD, MANLIUS, NY 13104-9718
(315) 692-1500
(315) 692-1053
Mailing address
314 CHURCHILL LN, FAYETTEVILLE, NY 13066-2541
(315) 637-8834
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
005809-1
NY
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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