Individual
ANDREA LYNN HASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
774 FAIRMOUNT AVE, JAMESTOWN, JAMESTOWN, NY 14701-2609
(716) 665-1166
(866) 902-1160
Mailing address
774 FAIRMOUNT AVE, JAMESTOWN, JAMESTOWN, NY 14701-2609
(716) 665-1166
(866) 902-1160
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018952-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03941733
—
NY
Enumeration date
08/26/2014
Last updated
08/26/2014
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