Individual
MISS MOLLY O WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 CHARLESGATE CIR, EAST AMHERST, NY 14051-1278
(716) 435-3027
Mailing address
302 CHARLESGATE CIR, EAST AMHERST, NY 14051-1278
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003496-1
NY
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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