Individual
MRS. MARY ANN PFENNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
25 LIBERTY ST, BATAVIA, NY 14020-3246
(585) 343-1840
(585) 343-2185
Mailing address
8503 INDIAN FALLS RD, CORFU, NY 14036-9641
(585) 762-8947
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006761-1
NY
Other
Enumeration date
10/18/2008
Last updated
10/18/2008
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