Individual
MRS. NICOLE ANNE PERROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3767 DELAWARE AVENUE, KENMORE, NY 14217
(716) 874-6175
(716) 836-6057
Mailing address
3767 DELAWARE AVENUE, KENMORE, NY 14217
(716) 874-6175
(716) 836-6057
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005100-1
NY
Other
Enumeration date
04/08/2011
Last updated
09/19/2018
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