Individual
MISS JENNIFER LYNN KLISZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
31 ROGERS DR, DEPEW, NY 14043-2219
(716) 901-5665
Mailing address
31 ROGERS DR, DEPEW, NY 14043-2219
(716) 901-5665
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005565
NY
Other
Enumeration date
01/14/2011
Last updated
04/15/2022
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