Individual
MS. CHARLENE EBNER-RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
241 BARDONIA RD, BARDONIA, NY 10954-2106
(845) 623-7839
Mailing address
241 BARDONIA RD, BARDONIA, NY 10954-2106
(845) 623-7839
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015411-1
NY
225X00000X
Occupational Therapist
46TR00483900
NJ
Other
Enumeration date
12/08/2008
Last updated
05/07/2013
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