Individual
MRS. SHANNON M BUKATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9 RED CLOVER LN, LANCASTER, NY 14086-4407
(716) 656-1469
Mailing address
9 RED CLOVER LN, LANCASTER, NY 14086-4407
(716) 656-1469
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
NY
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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