Individual
MARLENE BROMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W TUPPER ST, BUFFALO, NY 14201-2142
(716) 853-5010
(716) 853-5020
Mailing address
119 W TUPPER ST, BUFFALO, NY 14201-2142
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA03311
OH
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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