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Mary Patricia Prostick, OTRL

Occupational Therapist in Albany, NY. Individual provider (NPI-1).

NPI number1477611754
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1477611754
Entity type
Individual (NPI-1)
Name
Mary Patricia Prostick
Credential
OTRL
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 5, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist009953-1NYYes

Practice location

315 S Manning Blvd
Albany, NY 12208-1707

Phone 518-475-9574

Mailing address

140 Fernbank Ave
Delmar, NY 12054-4215

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