Individual
JOHANNAH JOY SLYE HILFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11 TANHOUSE BROOK RD, COTTEKILL, NY 12419
(845) 687-7250
Mailing address
16 TERRI DR, SAUGERTIES, NY 12477-2340
(302) 593-5474
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011453
NY
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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