Individual
MCKENNA MARY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 2ND AVE SW, JAMESTOWN, ND 58401-4104
(701) 252-6066
Mailing address
33 BUFFALO ST, ATTICA, NY 14011-1003
(585) 201-1885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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