Individual
COLLEEN PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 HERITAGE LANDING DR, EAST SYRACUSE, NY 13057
(315) 701-1107
Mailing address
5820 HERITAGE LANDING DR, EAST SYRACUSE, NY 13057-9378
(315) 701-1107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022621
NY
225X00000X
Occupational Therapist
40756517011
NY
225X00000X
Occupational Therapist
P06554
NY
Other
Enumeration date
11/01/2017
Last updated
07/21/2022
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