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Individual

MRS. CHERYL LIVERMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTAL

Contact information

Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
Mailing address
3716 ELM STREET, MADISON, NY 13402
(315) 893-7213

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002906-1
NY

Other

Enumeration date
12/01/2008
Last updated
12/01/2008
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