Individual
EMILY GRACE MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 NOTTINGHAM RD, JAMESVILLE, NY 13078-8705
(315) 445-9242
Mailing address
302 PLUM RDG, FAYETTEVILLE, NY 13066-8729
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
P14772
NY
225X00000X
Occupational Therapist
Primary
024891
NY
Other
Enumeration date
02/28/2019
Last updated
01/12/2022
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