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Individual

LAUREN KAZMIERCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
3911 BOWEN RD APT 21, LANCASTER, NY 14086-9677
(716) 982-6516

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011800
NY
225200000X
Physical Therapy Assistant
NY

Other

Enumeration date
09/07/2018
Last updated
11/26/2018
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