Individual
RACHEL NOEL RADECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 CHAUNCEY ST, BUFFALO, NY 14206-1306
(716) 939-8087
Mailing address
62 CHAUNCEY ST, BUFFALO, NY 14206-1306
(716) 939-8087
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010938
NY
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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