Individual
STEPHANIE LEIGH TYRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
413 BAY RD, QUEENSBURY, NY 12804-1408
(518) 761-2025
Mailing address
21 WOODRIDGE WAY, ARGYLE, NY 12809-2844
(518) 932-2500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011396-01
NY
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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