Individual
CAROLYN MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5823 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057-3084
(315) 418-4013
(315) 478-0388
Mailing address
5823 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057-3084
(315) 418-4013
(315) 478-0388
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021096
NY
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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