Individual
MS. JACLYN D SCOTT MAIALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 JOHN MUIR DRIVE, SUITE 100, AMHERST, NY 14228
(716) 250-4137
Mailing address
95 JOHN MUIR DR STE 100, AMHERST, NY 14228-1144
(716) 250-4137
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009557-1
NY
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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