Individual
HEATHER BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2495 MAIN ST, 234, BUFFALO, NY 14214-2152
(716) 341-3672
Mailing address
65 STONERIDGE LN, ELMA, NY 14059-9295
(716) 341-3672
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008726-1
NY
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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