Individual
MRS. JENNIFER ANNE DOXTATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
93 MAIN ST, RICHFIELD SPRINGS, NY 13439-4504
(315) 858-0610
Mailing address
702 STEUBEN RD, HERKIMER, NY 13350-1016
(315) 858-0610
(315) 858-2440
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012608-1
NY
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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