Individual
JENNIFER PERILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 PLYMOUTH PL, WILLIAMSVILLE, NY 14221-6504
(716) 225-0000
Mailing address
23 PLYMOUTH PL, WILLIAMSVILLE, NY 14221-6504
(716) 225-0000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009185-1
NY
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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