Individual
LISA MADERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 SWEET HOME RD, AMHERST, NY 14226
(716) 836-7556
Mailing address
700 SWEET HOME RD, AMHERST, NY 14226-1444
(716) 836-7556
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
019114
NY
Other
Enumeration date
09/17/2014
Last updated
05/29/2018
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