Individual
MISS KATHRYN FRANCES FASULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1145 LITTLE BRITAIN, NEW WINDSOR, NY 12553
(845) 564-1855
Mailing address
249 BROADWAY, NEWBURGH, NY 12550
(845) 564-1855
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007421-1
NY
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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