Individual
MS. THERESE R. CLEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 488-2951
Mailing address
53 GREENBUSH ST, APT. 4, CORTLAND, NY 13045-2731
(607) 662-4031
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004631-1
NY
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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