Individual
MRS. CAROL ALICE CONROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
66 SOUTHERN LN, WARWICK, NY 10990-1908
(845) 986-1790
Mailing address
66 SOUTHERN LN, WARWICK, NY 10990-1908
(845) 986-1790
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006440-1
NY
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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