Organization
WAYNE ARC
Active
Other names
Roosevelt Children's Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH ANN SCHALLMO OTR/L (COORDINATOR OF OCCUPATIONAL THERAPY)
(315) 331-2086
Entity
Organization
Contact information
Practice address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
(315) 331-3215
Mailing address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
(315) 331-3215
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
009453
NY
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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