Individual
KRISTIN GOLISZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
777 MARYVALE DR, CHEEKTOWAGA, NY 14225-2712
(716) 677-9515
Mailing address
777 MARYVALE DR, CHEEKTOWAGA, NY 14225-2712
(716) 677-9515
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
017203
NY
Other
Enumeration date
02/08/2012
Last updated
11/24/2014
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