Individual
MRS. BRIANNA M DATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
380 GAFFNEY DR, WATERTOWN, NY 13601-1863
(315) 788-2730
Mailing address
420 GAFFNEY DR, WATERTOWN, NY 13601-1823
(315) 788-2730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024492
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881227536
—
NY
Enumeration date
02/20/2020
Last updated
04/07/2023
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