Organization
FRONTIER OCCUPATIONAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCRECIA AGCAOILI-WHITE OT (OWNER)
(314) 409-9980
Entity
Organization
Contact information
Practice address
1005 VILLAGE BLVD S, BALDWINSVILLE, NY 13027-3369
(315) 409-9980
Mailing address
1005 VILLAGE BLVD S, BALDWINSVILLE, NY 13027-3369
(315) 409-9980
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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