Individual
MRS. SHELLEY ANN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2 FLETCHER ST, GOSHEN, NY 10924-1402
(845) 294-8301
(845) 294-6384
Mailing address
2 FLETCHER ST, GOSHEN, NY 10924-1402
(845) 294-8301
(845) 294-6384
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
007372-1
NY
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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