Individual
MRS. SERENA DIANE HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1744 W GENESEE ST, SYRACUSE, NY 13204-1902
(315) 468-3414
Mailing address
1744 W GENESEE ST, SYRACUSE, NY 13204-1902
(315) 468-3414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009980
NY
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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