Individual
MISS KASSANDRA DURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
159 WEST FIRST ST., OSWEGO, NY 13126
(315) 342-9575
(315) 342-7664
Mailing address
7594 MAIN ST, APT. 6, NEWPORT, NY 13416-3428
(315) 219-6915
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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