Individual
HEATHER PASSARETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 330-3122
Mailing address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 330-3122
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
020249
NY
Other
Enumeration date
12/13/2015
Last updated
09/11/2019
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