Individual
STEPHANIE MATOS-O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 FLINT MINE RD, COXSACKIE, NY 12051-2801
(518) 528-9351
Mailing address
20 FLINT MINE RD, COXSACKIE, NY 12051-2801
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008670
NY
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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