Individual
MARK N BRANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
370 W CALEDONIA ST, LOCKPORT, NY 14094-2045
(716) 990-9974
Mailing address
370 W CALEDONIA ST, LOCKPORT, NY 14094-2045
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008256-1
NY
Other
Enumeration date
07/06/2019
Last updated
07/06/2019
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