Individual
MS. KALEY REBECCA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
40 HENRIETTA BLVD, AMSTERDAM, NY 12010
(518) 843-3003
Mailing address
99 HARVARD RD, WATERVLIET, NY 12189-1210
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9508521
NY
Other
Enumeration date
07/23/2018
Last updated
03/18/2019
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