Individual
MS. KAYLE MIRANDA GORDNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
240 OCONNOR ST, WELLSVILLE, NY 14895-1055
(585) 593-5700
(585) 593-4529
Mailing address
240 OCONNOR ST, WELLSVILLE, NY 14895-1055
(585) 593-5700
(585) 593-4529
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009326
NY
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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