Individual
MS. MARJORIE ADONA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 EASTON AVE, BUFFALO, NY 14215-3317
(716) 228-0278
Mailing address
51 EASTON AVE, BUFFALO, NY 14215-3317
(716) 228-0278
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003304-1
NY
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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