Individual
TINA REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12044 E MAIN ST, WOLCOTT, NY 14590-1022
(315) 879-0375
Mailing address
12044 E MAIN ST, WOLCOTT, NY 14590-1022
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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