Individual
SUSAN LYNN ASHEAD
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
Mailing address
49 LENNOX AVE, AMHERST, NY 14226-4226
(716) 254-3652
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007640-1
NY
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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