Individual
PAIGE ANN MCMINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 EAST AVE APT 2, EAST SYRACUSE, NY 13057-2328
(814) 490-2502
Mailing address
110 EAST AVE APT 2, EAST SYRACUSE, NY 13057-2328
(814) 490-2502
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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