Individual
MRS. TRACI ANNE WIHLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
600 PARDEE RD, ROCHESTER, NY 14609-2810
(585) 339-1200
Mailing address
40 TRILLIUM LN, WEST HENRIETTA, NY 14586-9513
(585) 339-1555
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001560
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA555243
NATIONAL BOARD FOR CERTIFICATION OF OCCUPATIONAL THERAPY
—
Enumeration date
04/14/2011
Last updated
04/14/2011
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