Organization
INTEGRATED THERAPY OF WNY,OT/PT/SLP,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGUERITE MARY MIKULSKI OTR (DIRECTOR)
(585) 343-1840
Entity
Organization
Contact information
Practice address
25 LIBERTY ST STE 5, BATAVIA, NY 14020-3246
(585) 343-1840
(585) 343-2185
Mailing address
25 LIBERTY ST STE 5, BATAVIA, NY 14020-3246
(585) 343-1840
(585) 343-2185
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
002134-1
NY
252Y00000X
Early Intervention Provider Agency
006394-1
NY
252Y00000X
Early Intervention Provider Agency
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Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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