Individual
MRS. DARLENE ANNE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
425 E MAIN ST, FREDONIA, NY 14063-1451
(716) 410-0370
Mailing address
12329 HANOVER RD, SILVER CREEK, NY 14136-9746
(716) 410-0370
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011164
NY
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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