Individual
DEVONETHE ARETHA NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4 SERENITY CIR, ROCHESTER, NY 14608-2954
(120) 385-0041
Mailing address
4 SERENITY CIR, ROCHESTER, NY 14608-2954
(120) 385-0041
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6462
SC
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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