Individual
MS. PAMELA MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3575
Mailing address
8151 OLEAN RD, HOLLAND, NY 14080-9706
(716) 537-2853
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003005-1
NY
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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