Individual
MRS. LESLIE ANN COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
147 CLARK RD, GOSHEN, NY 10924-5628
(845) 651-4023
(845) 651-4029
Mailing address
147 CLARK RD, GOSHEN, NY 10924-5628
(845) 651-4023
(845) 651-4029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008313
NY
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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