Individual
STEPHANIE TRIOLO HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
18 TOWNLEY DRIVE, BURNT HILLS, NY 12027
(518) 384-1299
Mailing address
18 TOWNLEY DRIVE, BURNT HILLS, NY 12027
(518) 384-1299
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
000213-1
NY
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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