Individual
MARY FRONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
442 COUNTY ROUTE 38, GREENVILLE, NY 12083-0746
(518) 966-5888
Mailing address
PO BOX 746, GREENVILLE, NY 12083-0746
(518) 966-5888
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0091411
NY
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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