Individual
MRS. CONNIE S. ROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12125 COUNTY LINE ROAD, YORKSHIRE, NY 14173
(716) 492-9300
Mailing address
12125 COUNTY LINE ROAD, YORKSHIRE, NY 14173
(716) 492-9300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004350-1
NY
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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