Individual
SUSAN ANGELA COLLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-6025
Mailing address
113 HOLLAND AVE, ALBANY, NY 12208-3410
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48106
NATIONAL COUNCIL FOR THERAPEUTIC RECREATION CERTIFICATION
—
Enumeration date
12/18/2019
Last updated
12/18/2019
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