Individual
KIMBERLY VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 MOHAWK ST, COHOES, NY 12047-2809
(518) 235-2329
Mailing address
PO BOX 15, SPRINGFIELD CENTER, NY 13468-0015
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002427-1
NY
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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