Individual
MRS. MICHELLE LEE PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
393 TUBBS HILL RD, BERKSHIRE, NY 13736-1521
(607) 657-9996
Mailing address
393 TUBBS HILL RD, BERKSHIRE, NY 13736-1521
(607) 657-9996
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0070851
NY
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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