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Individual

MRS. CARLA L GUDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2495 MAIN ST, #234, BUFFALO, NY 14214-2152
(716) 836-5929
(716) 836-6057
Mailing address
2495 MAIN ST, #234, BUFFALO, NY 14214-2152
(716) 836-5929
(716) 836-6057

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019199-1
NY
225X00000X
Occupational Therapist
115917
TX
225XP0200X
Pediatric Occupational Therapist
019199-1
NY
225XP0200X
Pediatric Occupational Therapist
115917
TX

Other

Enumeration date
02/26/2014
Last updated
08/20/2015
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