Individual
MRS. JILL A ECHTENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2128 ELMWOOD AVENUE, BUFFALO, NY 14207-1910
(716) 874-4500
(716) 874-3195
Mailing address
2128 ELMWOOD AVENUE, BUFFALO, NY 14207-1910
(716) 874-4500
(716) 874-3195
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001473
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01465154
—
NY
Enumeration date
12/29/2009
Last updated
12/29/2009
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