Individual
BRITNIE PAULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 RIVERSIDE AVE, SCHENECTADY, NY 12302-1435
(518) 878-0085
Mailing address
705 RIVERSIDE AVE, SCHENECTADY, NY 12302-1435
(518) 878-0085
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009100-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009100-01
—
NY
Enumeration date
06/10/2021
Last updated
06/10/2021
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