Individual
JANA LEE WYNNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
427 MARGARET ST, PLATTSBURGH, NY 12901-1707
(518) 561-3803
Mailing address
427 MARGARET ST, PLATTSBURGH, NY 12901-1707
(518) 561-3803
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006499-1
NY
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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