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Individual

MS. ASHLEY N BANTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
421 MAIN ST, DUNKIRK, NY 14048-2720
(716) 366-3417
(716) 366-3568
Mailing address
421 MAIN ST, DUNKIRK, NY 14048-2720
(716) 366-3417
(716) 366-3568

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008325-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008325-1
NY STATE
NY
Enumeration date
08/28/2013
Last updated
08/28/2013
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