Organization
GELSOMINO AND DAVIS SPEECH AND OCCUPATIONAL THERAPY
Active
Organization
GELSOMINO AND DAVIS SPEECH AND OCCUPATIONAL THERAPY
Active
Other names
G&D Speech and Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DAVIS OTR/L (OWNER)
(845) 747-2580
Entity
Organization
Contact information
Practice address
6113 STATE ROUTE 55, LIBERTY, NY 12754-7626
(845) 747-2580
Mailing address
PO BOX 923, LIBERTY, NY 12754-0923
(845) 747-2580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014494-1
NY
235Z00000X
Speech-Language Pathologist
020000
NY
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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