Individual
ILEAN ESTER WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
150 VAN BUREN ST, NEWARK, NY 14513-1238
(315) 331-0566
Mailing address
1251 94TH ST, NIAGARA FALLS, NY 14304-2610
(716) 298-3526
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003018-1
NY
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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