Individual
MRS. SANDRA LORRAINE KACZMARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2824 COVENTRY GREEN, HAMBURG, NY 14075-5855
(716) 649-3363
Mailing address
2824 COVENTRY GRN, HAMBURG, NY 14075-5855
(716) 649-3363
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002572-1
NY
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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