Individual
MARILYN J BALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
30 ACADEMY ST, KERHONKSON, NY 12446-2600
(845) 626-2451
Mailing address
343 FOREST RD, WALLKILL, NY 12589-4710
(845) 566-0865
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002722-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002722-1
LICENSE NUMBER
NY
Enumeration date
02/11/2011
Last updated
02/11/2011
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