Individual
MICHELLE A JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
24 OLD RED MILL RD, RENSSELAER, NY 12144-9626
(518) 928-3254
Mailing address
24 OLD RED MILL RD, RENSSELAER, NY 12144-9626
(518) 928-3254
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004343-1
NY
Other
Enumeration date
04/11/2021
Last updated
04/11/2021
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