Individual
ANGELINA MARIA WASIELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
164 GREEN HOLLOW RD., BERLIN, NY 12022
(518) 658-3895
Mailing address
597 3RD AVE, TROY, NY 12182-2509
(518) 233-0544
(518) 233-0703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018892
NY
Other
Enumeration date
08/12/2014
Last updated
01/07/2015
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