MS. Stefanie G. Formato, COTA

NPI #1730441007 in Newburgh, New York

Provider Information

NPI Number: 1730441007
Entity Type: Individual
Name: MS. Stefanie G. Formato, COTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: COTA
Enumeration Date: Jun 13, 2012
Last Updated: Nov 29, 2023

Practice Location

Address: 249 BROADWAY
Address 2: ORANGE AHRC
City: Newburgh
State: New York
ZIP Code: 12550
Phone: (845) 564-1855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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