Individual
MS. LISA ANN RECORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
185 MARGARET ST, SUITE 1000, PLATTSBURGH, NY 12901-1837
(518) 561-6361
Mailing address
PO BOX 258, 104 SULLLIVAN ROAD, PERU, NY 12972-0258
(518) 643-0589
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005528-1
NY
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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