Individual
COURTNEY C WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1500 N JAMES ST, ROME, NY 13440-2844
(315) 338-7154
Mailing address
245 MAIN ST APT A5, NEW YORK MILLS, NY 13417-1261
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023158-1
NY
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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