Individual
MS. EDITH M DEPEYSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9440 BUTLER RD, SAUQUOIT, NY 13456-2010
(315) 737-9545
Mailing address
14 CARYL BLVD, CLINTON, NY 13323-1102
(315) 790-2606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010232-1
NY
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
Other
Enumeration date
03/14/2007
Last updated
03/17/2017
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