Individual
CAROL HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1240 NEW SCOTLAND RD STE 100, SLINGERLANDS, NY 12159-9222
(518) 475-1818
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004402
NY
225X00000X
Occupational Therapist
084402
NY
Other
Enumeration date
06/25/2006
Last updated
04/03/2018
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