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Contact Information

SUSAN PENDERGAST, COTA
28 TEPHANIC AVE
MONROE, NY10950-1418
 Phone: 845-783-1223
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for SUSAN PENDERGAST · (Female)

NPI # 1134385396
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 08/06/2008
Last updated 08/06/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 003749-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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