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Individual

MR. ANDREW JAMES WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1879 W GENESEE STREET RD, AUBURN, NY 13021-9430
(315) 253-0361
Mailing address
1879 W GENESEE STREET RD, AUBURN, NY 13021-9430
(315) 253-0361

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22079
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
456702
NY
Enumeration date
07/12/2022
Last updated
07/12/2022
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