Individual
JULIA SETLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
80 S SHORE BLVD, LACKAWANNA, NY 14218-1718
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
63020864
NY
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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