Individual
MRS. JODI LEE KANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
766 RIDGE RD, WEBSTER, NY 14580-2449
(585) 486-1230
Mailing address
5648 COUNTY ROAD 30, CANANDAIGUA, NY 14424-7962
(585) 394-6201
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007420-1
NY
Other
Enumeration date
08/14/2011
Last updated
08/14/2011
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