Individual
KAYLEE MARIE DEPRATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
42 GURNEY LN, QUEENSBURY, NY 12804-8250
(518) 761-6540
Mailing address
24 SUNCREST DR, WATERFORD, NY 12188-1322
(518) 847-6035
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010034-1
NY
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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