Individual
CONNIE ELAINE LUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9579 VOCATIONAL DR, PAINTED POST, NY 14870-9043
(607) 739-3581
Mailing address
9579 VOCATIONAL DR, PAINTED POST, NY 14870-9043
(607) 739-3581
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006089-1
NY
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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