Individual
SHERRY KOMNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
701 LENOX AVE, ONEIDA, NY 13421-1500
(315) 363-9281
Mailing address
12 BLITZEN CIR, NEW YORK MILLS, NY 13417-1204
(315) 768-1467
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002877-1
NY
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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