Individual
MS. KELLY LYNN GULINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5677 S TRANSIT RD, LOCKPORT, NY 14094-5842
(716) 472-1289
Mailing address
73 FIELDCREST CT, WEST SENECA, NY 14224-3825
(716) 906-0416
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
005194-1
NY
Other
Enumeration date
12/04/2011
Last updated
12/04/2011
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