Individual
HANNAH KUTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 PONDEROSA DR, CLIFTON PARK, NY 12065-6250
(423) 312-0876
Mailing address
43 PONDEROSA DR, CLIFTON PARK, NY 12065-6250
(423) 312-0876
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119868
TX
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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