Individual
MADALYN BROOKE RANALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11390 TRANSIT RD, EAST AMHERST, NY 14051-1017
(716) 580-3040
(716) 580-3042
Mailing address
11390 TRANSIT RD, EAST AMHERST, NY 14051-1017
(951) 264-3322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010248
NY
Other
Enumeration date
09/13/2019
Last updated
04/26/2022
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