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Individual

MARIANNE HONAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
80 LAWRENCE BELL DR, SUITE 115, WILLIAMSVILLE, NY 14221-7074
(716) 204-0355
Mailing address
149 DUFFY DR, TONAWANDA, NY 14150-5126
(716) 868-3133

Taxonomy

Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
008156
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251300000X
NY
Enumeration date
10/02/2012
Last updated
10/02/2012
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