Individual
MRS. BETH ANNE MANTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
28 HARDING AVE, LOCKPORT, NY 14094-6021
(716) 478-4424
Mailing address
2922 WALCK DR, NORTH TONAWANDA, NY 14120-1128
(716) 731-1684
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003288-1
NY
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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