Individual
LAURA FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/ L
Contact information
Practice address
1744 W GENESEE ST, SYRACUSE, NY 13204-1902
(315) 468-3414
Mailing address
314 WILLIS AVE, SYRACUSE, NY 13204-1904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009779-1
NY
Other
Enumeration date
07/24/2018
Last updated
01/16/2020
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