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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. ELIZABETH ANNE GANNON, OTR/L

Active Sole Proprietor

MS. ELIZABETH ANNE GANNON, OTR/L is a Pediatric Occupational Therapist healthcare provider located in LAGRANGEVILLE, New York. NPI 1790926822 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · LAGRANGEVILLE, NY

Registration Details

NPI Number
1790926822
Provider Type
Individual
Gender
Female
NPI Issued
Mar 19, 2009 (17.444719005214 yrs)
Last Updated
Mar 19, 2009
License
006474-2 (NY)
Sole Proprietor
Yes

Practice Information

Address
204 MARTIN RD
LAGRANGEVILLE, NY, 125406348
Browse NY providers · Browse ZIP 12540
Phone
8452239808
Primary Specialty
Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in LAGRANGEVILLE, NY

Name Credential NPI
JACQUELINE CUBBERLY OTR/L 1295036879
JULIANNE DECICCO 1033635719
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.