Individual
CAROLYN ELIZABETH MATRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 RAPP RD, ALBANY, NY 12203-4491
(518) 867-3061
Mailing address
38 N PINE AVE APT 1, ALBANY, NY 12203-1745
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017565
NY
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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