Individual
MS. SUSAN JANE BOTCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.A.
Contact information
Practice address
4403 MANOR DR, PEEKSKILL, NY 10566-6914
(914) 788-6408
Mailing address
4403 MANOR DR, PEEKSKILL, NY 10566-6914
(914) 788-6408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007319-1
NY
Other
Enumeration date
05/17/2009
Last updated
05/17/2009
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