Individual
MRS. SUSAN MARIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11390 TRANSIT RD, EAST AMHERST, NY 14051-1017
(716) 580-3040
(716) 580-3042
Mailing address
11390 TRANSIT RD., LOCKPORT, NY 14051
(716) 580-3040
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001486-1
NY
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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