Individual
GAVIN MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
6050 ARMOR DUELLS RD, ORCHARD PARK, NY 14127-3126
(607) 882-0846
Mailing address
812 ADAMS RD, DRYDEN, NY 13053-9613
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029269-01
NY
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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