Individual
CARISSA ELIZABETH O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
413 BAY RD, QUEENSBURY, NY 12804-1408
(518) 761-2025
Mailing address
23 E TREMONT ST, GLENS FALLS, NY 12801-4649
(518) 538-0044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022768
NY
Other
Enumeration date
08/15/2018
Last updated
11/29/2021
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