Individual
AUDREY ROSE DIMATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 CENTRAL AVE, DUNKIRK, NY 14048-2145
(716) 366-3631
Mailing address
2393 BLACKHOUSE RD, WARSAW, NY 14569-9589
(585) 322-0502
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
025556-01
NY
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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