Individual
MARY ANNA MISKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1500 PORTLAND AVE, ROCHESTER, NY 14621
(585) 697-6000
Mailing address
1500 PORTLAND AVE, ROCHESTER, NY 14621-3065
(585) 697-6000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010773
NY
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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