Individual
ASHLEY L KLICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
75 JONES AND GIFFORD AVE, JAMESTOWN, NY 14701-2828
(716) 661-1408
(716) 661-1074
Mailing address
200 DUNHAM AVE, JAMESTOWN, NY 14701-2528
(716) 661-1408
(716) 661-1074
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007873-1
NY
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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