Individual
AUGUSTINA BOATENG ADDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 NEW DAWN TRL, HUNTSVILLE, TX 77320-2133
(518) 366-5331
Mailing address
105 NEW DAWN TRL, HUNTSVILLE, TX 77320-2133
(518) 366-5331
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009946-1
NY
Other
Enumeration date
12/16/2018
Last updated
10/22/2024
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