Individual
MR. WESLEY HERRICK MAREAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 BRONSON AVE, AVON, NY 14414-1001
(585) 447-1446
Mailing address
17 BRONSON AVE, AVON, NY 14414-1001
(585) 447-1446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007127-1
NY
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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