Individual
MISS CARLIE NICOLE BASSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
165 MAIN ST, ONEIDA, NY 13421-1648
(315) 363-1059
Mailing address
701 LENOX AVE, ONEIDA, NY 13421-1500
(338) 936-3315
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009868
NY
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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