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Individual

MRS. ASHLEY DEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N., OTR/L

Contact information

Practice address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
(585) 377-2243
Mailing address
1169 HIDDEN VALLEY TRL, WEBSTER, NY 14580-9133

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017703-1
NY

Other

Enumeration date
08/22/2013
Last updated
08/22/2013
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