Individual
MS. KIM ELLEN GERACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 HILLTOP RD, BRONXVILLE, NY 10708-5118
(914) 319-6625
Mailing address
1 HILLTOP RD, BRONXVILLE, NY 10708-5118
(914) 319-6625
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007059-1
NY
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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