Individual
KIMBERLY KOWALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1751 ROUTE 17A, FLORIDA, NY 10921
(845) 651-2251
Mailing address
1751 ROUTE 17A, FLORIDA, NY 10921-1525
(845) 651-2258
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
008244-1
NY
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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