Individual
JENNIFER BAUCHMANN BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
140 LINCOLN AVE, ALTAMONT, NY 12009-5326
(518) 861-3601
Mailing address
140 LINCOLN AVE, ALTAMONT, NY 12009-5326
(518) 861-3601
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
224Z00000X
Occupational Therapy Assistant
007349-1
NY
Other
Enumeration date
08/17/2009
Last updated
11/26/2024
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