Individual
MS. CATHERINE MARIA REVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1200 E AND WEST RD, WEST SENECA, NY 14224-3604
(716) 517-3478
Mailing address
5191 GLENDALE AVE, HAMBURG, NY 14075-5639
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0036061
NY
Other
Enumeration date
02/21/2007
Last updated
01/27/2016
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