Individual
CHARISSE GUERCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 EAST AND WEST RD, 16 MAIN DRIVE, WEST SENECA, NY 14224-3604
(716) 517-2369
Mailing address
1200 EAST AND WEST RD, 16 MAIN DRIVE, WEST SENECA, NY 14224-3604
(716) 517-2369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011794-1
NY
Other
Enumeration date
09/14/2010
Last updated
03/05/2015
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