Individual
ERIN MARIE GRUTTADAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217
(716) 874-6175
Mailing address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
(716) 871-9887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
016548
NY
225X00000X
Occupational Therapist
Primary
016548-1
NY
Other
Enumeration date
09/04/2012
Last updated
05/17/2019
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