Individual
ELIZABETH ASHLEY BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MAIN ST STE B, GOSHEN, NY 10924-1636
(845) 458-8661
Mailing address
301 MAIN ST STE B, GOSHEN, NY 10924-1636
(845) 458-8661
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11266
COTA LICENSE
NY
Enumeration date
12/22/2022
Last updated
12/22/2022
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