Individual
VANESSA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 SARATOGA BRIDGES BLVD, BALLSTON SPA, NY 12020-6236
(518) 373-1384
Mailing address
16 SARATOGA BRIDGES BLVD, BALLSTON SPA, NY 12020-6236
(518) 373-1384
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1010893
NY
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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