Individual
MISS EMILY COLLEEN HOLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
(315) 342-7664
Mailing address
6037 MONOPOLI PATH, CICERO, NY 13039-6818
(315) 935-3692
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
009459-1
NY
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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