Individual
GINALESE MARIE OPERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
70 TOMAHAWK TRL, LANCASTER, NY 14086-9212
(716) 208-7292
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011016-01
NY
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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