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Individual

AGNES MARY HURLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
75 THISTLE LEA, WILLIAMSVILLE, NY 14221-4923
(716) 631-7612
Mailing address
75 THISTLE LEA, WILLIAMSVILLE, NY 14221-4923
(716) 631-7612

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006045-1
NY

Other

Enumeration date
08/22/2007
Last updated
08/22/2007
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