Individual
ASHLEY SKADRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11 LAWRENCE ST, WATERFORD, NY 12188-1803
(518) 937-0942
Mailing address
11 LAWRENCE ST, WATERFORD, NY 12188-1803
(518) 937-0942
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
64009091
NY
Other
Enumeration date
12/07/2016
Last updated
09/29/2022
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