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Individual

MRS. CATHERINE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
25 LAFAYETTE ST, SCHENECTADY, NY 12305-2007
(518) 393-6535
(518) 374-6375
Mailing address
597 3RD AVE, TROY, NY 12182-2509
(518) 233-0544
(518) 233-0703

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001988
NY

Other

Enumeration date
08/03/2010
Last updated
08/03/2010
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