Individual
EILEEN MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
51-55NORTH RT 9W, WEST HAVERSTRAW, NY 10993
(845) 786-4379
Mailing address
1 CENTER ST, GOSHEN, NY 10924
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002821-1
NY
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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