Individual
ANNIE HAN XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, LPN
Contact information
Practice address
2250 WEHRLE DR, SUITE 1, WILLIAMSVILLE, NY 14221-7034
(716) 276-2123
(716) 276-2129
Mailing address
47 SUMMIT AVE APT 1, ALBANY, NY 12209-1629
(646) 799-7122
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
304835
NY
225X00000X
Occupational Therapist
Primary
019971
NY
225X00000X
Occupational Therapist
46TR00718100
NJ
Other
Enumeration date
11/04/2011
Last updated
03/13/2019
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