Individual
DENISE SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
50 WASHINGTON AVE, OXFORD, NY 13830
(607) 334-2539
(607) 334-2539
Mailing address
3825 STATE HIGHWAY 23, SOUTH PLYMOUTH, NY 13844-6702
(607) 334-2539
(607) 334-2539
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0034261
NY
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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