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NPI Code Detail

MEDICARE: CYNTHIA LYNN NEIL-WEBSTER OTR/L

MEDICARE: CYNTHIA LYNN NEIL-WEBSTER OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist004141-1NY

General Provider Information

NPI Number : 1447407010
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA LYNN NEIL-WEBSTER OTR/L
Provider Business Mailing Address
First Line : 3392 AVRILL RD
Second Line :
City : CALEDONIA
State : NY
Zip : 14423-9522
Country : US
Telephone Number : 585-538-9628
Fax Number :
Provider Business Practice Location Address
First Line : 3599 BIG RIDGE RD
Second Line :
City : SPENCERPORT
State : NY
Zip : 14559-1709
Country : US
Telephone Number : 585-352-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2008
Last Update Date : 11/03/2011

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