Paula Marie Detar

NPI #1437404449 in Penn Yan, New York

Provider Information

NPI Number
1437404449
Entity Type
Individual
Name
Paula Marie Detar
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Jul 16, 2012
Last Updated
Jul 16, 2012

Practice Location

Address
270 LAKE ST
ZIP Code
14527-1832
Phone
(315) 536-2601

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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