Individual
MACKENZIE ANN JUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
(716) 874-6175
Mailing address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013976-01
NY
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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