Individual
JOANN VALARIE VERDEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
30 N MAIN AVE, ALBANY, NY 12203-1410
(518) 453-6710
Mailing address
30 N MAIN AVE, ALBANY, NY 12203-1410
(518) 453-6710
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005085-1
NY
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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