Individual
MS. LARISSA RYANN CARYOFILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1000 NORTH ST, PITTSFIELD, MA 01201-1585
(413) 499-7186
Mailing address
PO BOX 236, STEPHENTOWN, NY 12168-0236
(518) 320-0850
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4829
MA
Other
Enumeration date
09/09/2022
Last updated
11/08/2022
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