Individual
RENEE FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RENEE FROST COTA/L
Contact information
Practice address
706 OLD STATE ROUTE 22, DOVER PLAINS, NY 12522-5818
(845) 453-2385
Mailing address
9 UNDERHILL RD S, POUGHQUAG, NY 12570-5224
(845) 625-8830
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010264
NY
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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