Individual
LAURA J PIRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
139 OUTER STATE ST. ROAD, CANTON, NY 13617
(315) 386-4504
Mailing address
78 MCILWEE RD, HEUVELTON, NY 13654-3309
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000325
NY
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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