Individual
ERICKA EADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119009654
VA
225X00000X
Occupational Therapist
Primary
029425
NY
Other
Enumeration date
03/21/2023
Last updated
11/13/2024
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