Individual
MRS. KRISTEN MAYROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5677 S TRANSIT RD, #318, LOCKPORT, NY 14094-5842
(716) 432-6568
Mailing address
7204 SCOTLAND RD, AKRON, NY 14001-9604
(716) 542-2661
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
004836-1
NY
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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