Individual
JESSICA PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 WINDFALL RD, OLEAN, NY 14760-9333
(716) 492-9450
Mailing address
11045 ROUTE 240, WEST VALLEY, NY 14171-9756
(716) 983-8468
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008579
NY
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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