Individual
MS. TANI LEE BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1585 MILITARY TURNPIKE, PLATTSBURGH, NY 12901
(518) 561-0100
Mailing address
P.O. BOX 455, PLATTSBURGH, NY 12901
(518) 561-0100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006161
NY
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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