Individual
MELISSIA CUDDEBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 RECTOR RD, GLENVILLE, NY 12302-6709
(518) 928-2331
(518) 928-2331
Mailing address
1025 RECTOR RD, GLENVILLE, NY 12302-6709
(518) 928-2331
(518) 928-2331
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
008552-1
NY
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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