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1164173381
CORTNEY LYNN WIEDEMANN
OLEAN, NY
NPI
1164173381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 010939-01)
Enumeration Date
2022-01-11
Last Update Date
2022-01-11
Business Address
CORTNEY LYNN WIEDEMANN COTA/L
1626 WASHINGTON ST
OLEAN, NY 14760-1935
Phone number: 716-372-0594
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Mailing Address
CORTNEY LYNN WIEDEMANN COTA/L
13000 HAWKS HILL RD
HOLLAND, NY 14080-9769
Phone number: 716-249-7193
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