Individual
MRS. DANYLE G RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10832 EAST RD, PAVILION, NY 14525-9737
(585) 344-2312
Mailing address
10832 EAST RD, PAVILION, NY 14525-9737
(585) 344-2312
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005561-1
NY
Other
Enumeration date
09/23/2008
Last updated
09/29/2008
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