Individual
CHARLOTTE RAYE BROCKWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1879 W GENESEE STREET RD, AUBURN, NY 13021-9430
(315) 253-0361
Mailing address
1879 W GENESEE STREET RD, AUBURN, NY 13021-9430
(315) 253-0361
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022796
NY
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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