Individual
ELYSA CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N ERIE ST, MAYVILLE, NY 14757-9755
(716) 753-5800
Mailing address
100 N ERIE ST, MAYVILLE, NY 14757-9755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027112
NY
Other
Enumeration date
06/21/2023
Last updated
05/02/2025
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