Individual
SAM KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/05/2014
Last updated
10/05/2014
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