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Individual

MRS. SUSAN GUGGEMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.T.A.

Contact information

Practice address
790 RIDGE ROAD, LAKAWANNA, NY 14218
(716) 822-4781
(716) 825-5765
Mailing address
5245 BUSSENDORFER ROAD, ORCHARD PARK, NY 14127
(716) 648-2753

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001578-1
NY

Other

Enumeration date
10/22/2013
Last updated
10/22/2013
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