Individual
ELIZABETH HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10369 DAYTON RD, REMSEN, NY 13438-4103
(315) 896-2654
Mailing address
10369 DAYTON RD, REMSEN, NY 13438-4103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001820-1
NY
261Q00000X
Clinic/Center
001820-1
NY
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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