Individual
MIRANDA JOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
333 WELLINGTON AVE, TONAWANDA, NY 14223-2517
(716) 936-0058
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
P129517
NY
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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