Individual
ANTOINETTE MICHALINE DEWIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
101 19TH AVE, NORTH TONAWANDA, NY 14120-2713
(716) 694-0029
Mailing address
101 19TH AVE, NORTH TONAWANDA, NY 14120-2713
(716) 694-0029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004754-1
NY
Other
Enumeration date
07/11/2007
Last updated
07/13/2007
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