Individual
JANET CONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
1943 HUNTINGTON RD, RICHMOND, VT 05477
(516) 435-3425
Mailing address
1631 GILFORD AVE, NEW HYDE PARK, NY 11040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0720000483
VT
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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