Individual
MRS. KIMBERLY ANN CLYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
100 SARATOGA VILLAGE BLVD, SUITE35, MALTA, NY 12020-3737
(518) 899-9235
Mailing address
100 SARATOGA VILLAGE BLVD, SUITE35, MALTA, NY 12020-3737
(518) 899-9235
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004341
NY
Other
Enumeration date
03/15/2015
Last updated
03/15/2015
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