Individual
MRS. DENISE LYNN WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
324 EAST AVE, ALBION, NY 14411-1600
(585) 589-2030
Mailing address
106 IVY LEA, BUFFALO, NY 14223-1467
(716) 875-1618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006372-1
NY
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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