Individual
MS. TRACIE ANN KWOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, OTR/L
Contact information
Practice address
50 E NORTH ST, BUFFALO, NY 14203-1002
(716) 885-8871
Mailing address
50 E NORTH ST, BUFFALO, NY 14203-1002
(716) 885-8871
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011605-1
NY
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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