Individual
MS. MARYERIN JOHNEEN AGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
ROUTE 67, HFM BOCES, JOHNSTOWN, NY 12095
(518) 736-4350
Mailing address
196 MARKET ST, AMSTERDAM, NY 12010-2521
(518) 843-0619
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
010322-1
NY
283X00000X
Rehabilitation Hospital
010322-1
NY
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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