Individual
COLLEEN M DESALVATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, PTA
Contact information
Practice address
182 NORTH ST, AUBURN, NY 13021-1811
(315) 255-2746
(315) 255-2740
Mailing address
182 NORTH ST, AUBURN, NY 13021-1811
(315) 255-2746
(315) 255-2740
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001987-1
NY
225X00000X
Occupational Therapist
012747-1
NY
Other
Enumeration date
06/28/2006
Last updated
02/06/2009
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