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Individual

ASHLEY OTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
111 COLETTE AVE, BUFFALO, NY 14227-3457
(716) 498-0553

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102150-01
NY
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
07/17/2019
Last updated
05/05/2021
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