Individual
MISS ELISABETH RUTH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSC OT, OTR/L
Contact information
Practice address
1091 MAIN ST, BUFFALO, NY 14209-2305
(716) 242-8200
Mailing address
1091 MAIN ST, BUFFALO, NY 14209-2305
(716) 242-8200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020816-01
NY
Other
Enumeration date
07/03/2023
Last updated
07/27/2023
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