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Krystle Augusta, COTA

Occupational Therapy Assistant in Goshen, NY. Individual provider (NPI-1).

NPI number1881997237
StatusActive
Last updated in NPPESApr 16, 2012

Details

NPI
1881997237
Entity type
Individual (NPI-1)
Name
Mrs. Krystle Augusta
Credential
COTA
Sex
Female
Sole proprietor
No
Enumeration date
Dec 7, 2010
Last updated
Apr 16, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant006888-1NYYes

Practice location

2 Fletcher St
Goshen, NY 10924-1402

Phone 845-294-8806 · Fax 845-294-8650

Mailing address

2 Fletcher St
Goshen, NY 10924-1402

Phone 845-294-8806 · Fax 845-294-8650

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