Individual
MRS. COLLEEN ANN KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2495 MAIN ST, SUITE 234, BUFFALO, NY 14214-2152
(716) 836-5929
Mailing address
44 FLORAL PL, CHEEKTOWAGA, NY 14225-3429
(716) 632-8977
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002996-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470563
—
NY
Enumeration date
02/07/2011
Last updated
02/07/2011
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