Individual
ANGELA BETH KIKLOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT, CLT, LMT
Contact information
Practice address
3590 W LAKE RD, BRADFORD, NY 14815-9658
(607) 329-3184
(585) 396-6064
Mailing address
3590 W LAKE RD, BRADFORD, NY 14815-9658
(607) 329-3184
(585) 396-6064
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
018575
NY
225X00000X
Occupational Therapist
Primary
010465
NY
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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