Individual
MRS. AMY LYNN FREMOUW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 GLASGOW STREET, CLYDE, NY 14433-1221
(315) 923-9307
Mailing address
190 GLASGOW ST, CLYDE, NY 14433-1221
(315) 923-9307
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002952-1
NY
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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