Charlotte Raye Brockway

NPI #1922581727 in Auburn, New York

Provider Information

NPI Number: 1922581727
Entity Type: Individual
Name: Charlotte Raye Brockway
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 8, 2018
Last Updated: Sep 8, 2018

Practice Location

Address: 1879 W GENESEE STREET RD
City: Auburn
State: New York
ZIP Code: 13021-9430
Phone: (315) 253-0361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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