Individual
ZAHIANA NIA VONGPHACHANH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 E PATH RISE, WEST HENRIETTA, NY 14586-8614
(585) 857-1484
Mailing address
211 E PATH RISE, WEST HENRIETTA, NY 14586-8614
(585) 857-1484
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-2024-0208
NM
Other
Enumeration date
01/16/2025
Last updated
01/17/2025
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