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Individual

ADAH E POQUETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2841 THOUSAND ACRES RD, DELANSON, NY 12053-1917
(518) 875-6141
Mailing address
160 LERAY STREET, BLACK RIVER, NY 13612
(315) 773-5911

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016990
NY

Other

Enumeration date
09/26/2011
Last updated
01/27/2016
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