Individual
GINA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1000 ELMWOOD AVE, STE 400, ROCHESTER, NY 14620-3042
(585) 271-0680
Mailing address
155 TROUTBECK LN, ROCHESTER, NY 14626-1719
(614) 205-1271
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NY
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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