Individual
AUDREY M CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10714 NORTH RD, PERRYSBURG, NY 14129-9746
(716) 532-1049
(716) 532-0679
Mailing address
11291 MARKHAM RD, GOWANDA, NY 14070-9623
(716) 257-5134
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0025801
NY
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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