Individual
KENZIE ALISSE HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
255 MYRON AVE, BUFFALO, NY 14217-2440
(716) 874-8656
Mailing address
2211 WOODSFIELD DR, LAKE VIEW, NY 14085-9418
(716) 491-2453
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011482
NY
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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