Individual
MISS KYLIE ROSE WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5285 LEWISTON RD, LEWISTON, NY 14092-1942
(716) 298-2900
Mailing address
40 CHARLESTON AVE, KENMORE, NY 14217-2936
(716) 880-0155
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010614
NY
Other
Enumeration date
08/19/2020
Last updated
11/03/2020
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