Individual
JENNIFER GOLLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
10674 PROSPECT ST, GOWANDA, NY 14070-1344
(716) 532-3325
Mailing address
7212 TRICIA LN, BOSTON, NY 14025-9641
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011379
NY
Other
Enumeration date
12/14/2011
Last updated
02/26/2016
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