Individual
CYNTHIA L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
222 RICHMOND AVE, BATAVIA, NY 14020-1227
(585) 297-1125
(585) 297-1045
Mailing address
182 CRESTWOOD AVE, BUFFALO, NY 14216-2306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012293-1
NY
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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