Individual
CORINNE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10548 MAIN STREET, BROOKFIELD, NY 13314
(315) 235-5286
Mailing address
PO BOX 63, BROOKFIELD, NY 13314-0063
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006249-1
NY
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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