Individual
MRS. BREANNA EYERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
283 WASHINGTON AVE, KENMORE, NY 14217-1804
(716) 725-7163
Mailing address
4711 WINDING WOODS LN, HAMBURG, NY 14075-5457
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007392-1
NY
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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