Individual
ERYN REVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
637 CO RD 1, FORT COVINGTON, NY 12937
(518) 358-6670
Mailing address
224 PIKEVILLE RD, BURKE, NY 12917-1804
(518) 483-9325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024775
NY
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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