Individual
KATHRYN RAE SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
664 ORANGEBURG RD, PEARL RIVER, NY 10965-2830
(845) 735-3066
Mailing address
664 ORANGEBURG RD, PEARL RIVER, NY 10965-2830
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010716
NY
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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