Individual
MRS. BOBBIE JO COUPERUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 BRIDGE ST, BROADALBIN, NY 12025-2193
(518) 954-2645
Mailing address
1033 KANIA RD, AMSTERDAM, NY 12010-6607
(518) 212-5306
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
008957-1
NY
Other
Enumeration date
02/13/2011
Last updated
01/09/2012
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