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Individual

KATHLEEN M HOLLABAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4324 RIDGE RD, ELBA, NY 14058-9763
(585) 757-9992
Mailing address
4324 RIDGE RD, ELBA, NY 14058-9763
(585) 757-9992

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006877-1
NY

Other

Enumeration date
09/25/2008
Last updated
09/25/2008
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