Individual
CAROLYN CZIMBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
16 LITTLE DR, MALTA, NY 12020-6328
(518) 879-5797
Mailing address
16 LITTLE DR, MALTA, NY 12020-6328
(518) 879-5797
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
013500-1
NY
Other
Enumeration date
09/11/2014
Last updated
09/17/2014
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