Individual
SUE PARDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4747 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 13413
(315) 793-8528
Mailing address
PO BOX 619, CLARK MILLS, NY 13321-0619
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002240-1
NY
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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