Individual
STEPHANIE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 COUNTY ROUTE 64, MEXICO, NY 13114-3229
(315) 963-0864
Mailing address
216 COUNTY ROUTE 64, MEXICO, NY 13114-3229
(315) 963-0864
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009435-1
NY
Other
Enumeration date
10/28/2008
Last updated
01/12/2016
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