FAITH PROVOST HARDING

NEWARK, NY
NPI1497886600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  0017811)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
-- FAITH PROVOST HARDING COTA
150 VAN BUREN ST
NEWARK, NY 14513-1238
Phone number: 315-331-7741
Mailing Address
-- FAITH PROVOST HARDING COTA
5419 RUSSELL RD
MARION, NY 14505-9357
Phone number: 315-589-9236
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