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Individual

MS. ANNE MARIE BRUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
515 MAIN ST, OLEAN, NY 14760-1513
(716) 375-7481
Mailing address
3223 CRANBERRY RD, OLEAN, NY 14760-1809
(716) 372-9392

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004393-1
NY

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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