Individual
MRS. MARY FRANCES NICOLETTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4363 MAPLETON RD, LOCKPORT, NY 14094-9652
(716) 625-7272
Mailing address
4806 CREEKSIDE PKWY, NIAGARA FALLS, NY 14305-1356
(716) 299-0103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002472-1
NY
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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