Individual
LINDSEY KINNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4277 65TH PL, WOODSIDE, NY 11377-5054
(718) 429-2000
Mailing address
365 BROADWAY APT 6, BROOKLYN, NY 11211-7304
(918) 348-5545
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009961
NY
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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