Individual
KATHY RENEE RECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
ROUTE 217 #786, MELLENVILLE, NY 12544
(518) 672-7688
Mailing address
P.O. BOX S, MELLENVILLE, NY 12544-0108
(518) 672-7688
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
006261-1
NY
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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