Individual
ANDREA MAXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 FISHERS STATION DR STE 130, VICTOR, NY 14564-9744
(585) 924-7207
(585) 924-7049
Mailing address
590 FISHERS STATION DR STE 130, VICTOR, NY 14564-9744
(585) 924-7207
(585) 924-7049
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017003-
NY
Other
Enumeration date
09/29/2011
Last updated
11/19/2012
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