Individual
MRS. KATHLEEN LAVERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9 HIRSCH DR, GARNERVILLE, NY 10923-1803
(914) 523-1594
Mailing address
9 HIRSCH DR., GARNERVILLE, NY 10923
(914) 523-1594
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001949-1
NY
Other
Enumeration date
12/01/2008
Last updated
02/10/2009
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