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Individual

MACEY L DOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2495 MAIN ST, SUITE 234, BUFFALO, NY 14214-2152
(716) 836-5929
Mailing address
5033 RIDGE CHAPEL RD, MARION, NY 14505-9609
(585) 729-7451

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008527
NY

Other

Enumeration date
09/04/2014
Last updated
09/04/2014
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