| NPI | 1043580129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE TRILL Occupational Therapist 716-807-5074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 7683) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |