Individual
LIANE DENSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
164 GREEN HOLLOW ROAD, BERLIN, NY 12022
(518) 658-3895
Mailing address
597 3RD AVE, TROY, NY 12182-2509
(518) 233-0544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002143-1
NY
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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