Individual
ANDREA TANTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5285 LEWISTON RD, LEWISTON, NY 14092-1942
(585) 737-2908
Mailing address
370 SAINT LAWRENCE AVE, BUFFALO, NY 14216-1455
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/07/2019
Last updated
07/07/2019
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