Individual
ALYSIA EMILY DUROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
421 MAIN ST, DUNKIRK, NY 14048-2720
(716) 366-3417
(716) 366-3568
Mailing address
11378 ARCHER HILL RD, RANDOLPH, NY 14772-9654
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
64 008185
NY
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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