Individual
DEBORAH MARIE GARRELTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
58 QUAKER ST, GRANVILLE, NY 12832-1513
(518) 642-1051
Mailing address
58 QUAKER ST, GRANVILLE, NY 12832-1513
(518) 642-1051
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009063-1
NY
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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