MARK ANTONIO DAVILA

BUFFALO, NY
NPI1942724208
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  009371)
Enumeration Date2017-07-28
Last Update Date2017-07-28
Business Address
MARK ANTONIO DAVILA COTA/L
95 JOHN MUIR DR
BUFFALO, NY 14228-1144
Phone number: 800-543-9399
Mailing Address
MARK ANTONIO DAVILA COTA/L
263 CRANDON BLVD LOWR
CHEEKTOWAGA, NY 14225-3735
Phone number:
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