Individual
KAYLEIGH CHEYENNE RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
726 E MAIN ST STE 102, MIDDLETOWN, NY 10940-2654
(845) 394-0080
Mailing address
354 LAKE VUE DR, MONTGOMERY, NY 12549-2236
(518) 390-7694
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
NY
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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