Individual
MRS. CAROLYN LEE VON SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
41 WERNER RD, CLIFTON PARK, NY 12065-3409
(518) 664-5066
(518) 664-5728
Mailing address
41 WERNER RD, CLIFTON PARK, NY 12065-3409
(518) 664-5066
(518) 664-5728
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002556-1
NY
225XP0200X
Pediatric Occupational Therapist
002556-1
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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