Individual
MISS EMILY MAE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
70 KUKUK LN, KINGSTON, NY 12401-6943
(845) 336-2616
Mailing address
9 CRABAPPLE LN, MIDDLETOWN, NY 10941-1005
(845) 707-5363
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009174
NY
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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