Individual
DAVID R HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
180 WASHINGTON AVENUE EXT, ALBANY, NY 12203-5304
(518) 456-7831
(518) 456-1563
Mailing address
4220 RIVER RD, LATHAM, NY 12110-1185
(518) 892-4201
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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