Individual
MRS. BETTY LOU ADAMOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
143 GOLDING DRIVE, COBLESKILL, NY 12043
(518) 234-3165
Mailing address
143 GOLDING DRIVE, COBLESKILL, NY 12043
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002458-1
NY
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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