Individual
ERICA L IANNELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1500 PORTLAND AVE, ROCHESTER, NY 14621-3065
(585) 697-6000
Mailing address
3114 GILDERSLEEVE RD, MARION, NY 14505-9764
(315) 576-4182
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022994
NY
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/09/2019
Last updated
01/12/2022
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