Individual
KAREN MARIE HUBBARD- IMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 E MARKET ST, ELMIRA, NY 14901-3223
(607) 733-6541
(607) 737-1532
Mailing address
23 HALDERMAN HOLLOW RD, ELMIRA, NY 14903-9357
(607) 562-3121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0015811
NY
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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