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Individual

JOAN M. SCANLON-DISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
25 HIGH ST, FORT PLAIN CENTRAL SCHOOL, FORT PLAIN, NY 13339-1365
(518) 993-4000
Mailing address
177 BRONNER RD, LITTLE FALLS, NY 13365-3726
(315) 823-3765

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2014
NY

Other

Enumeration date
12/08/2010
Last updated
12/08/2010
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