Individual
MRS. JENNIFER LYNN TYRPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
1025 RIDGE RD, LACKAWANNA, NY 14218-1755
(716) 822-4781
Mailing address
1025 RIDGE RD, LACKAWANNA, NY 14218-1755
(716) 822-4781
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003251-1
NY
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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