Individual
MISS NICOLE MARIE MARCOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA2
Contact information
Practice address
10714 NORTH RD, PERRYSBURG, NY 14129-9746
(716) 532-1049
(716) 532-0679
Mailing address
11 ROYAL AVE, JAMESTOWN, NY 14701-4513
(716) 487-0415
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003677-1
NY
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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