Individual
CARLI LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
(716) 278-4391
Mailing address
132 58TH ST, NIAGARA FALLS, NY 14304-3810
(716) 534-7286
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011169-01
NY
Other
Enumeration date
10/04/2022
Last updated
01/11/2023
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