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Individual

ELISE ULAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
145 BUCKLEY ST, LIBERTY, NY 12754-1601
(845) 292-5400
Mailing address
7323 STATE ROUTE 55, NEVERSINK, NY 12765-5501
(845) 423-7189

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009476-1
NY

Other

Enumeration date
12/30/2017
Last updated
03/17/2018
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