Individual
CORTNEY ALEXIS DEBORAH VAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 E MAIN ST, WESTFIELD, NY 14787-1104
(716) 785-8805
Mailing address
8442 ROUTE 60, CASSADAGA, NY 14718-9699
(716) 785-8805
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010763-01
NY
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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