Individual
MS. KATRINA LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
872 SWEET HOME RD, AMHERST, NY 14226-1434
(716) 597-9794
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004762-1
NY
Other
Enumeration date
06/20/2017
Last updated
09/04/2019
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