Individual
MRS. ANDREA E BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
50 E NORTH ST, BUFFALO, NY 14203-1002
(716) 885-8318
(716) 882-4319
Mailing address
50 E NORTH ST, BUFFALO, NY 14203-1002
(716) 885-8318
(716) 882-4319
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012973-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02888228
—
NY
Enumeration date
08/17/2007
Last updated
04/06/2012
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