Individual
JENNIFER PROCKISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16783 IVES STREET EXT, WATERTOWN, NY 13601-5312
(315) 788-5377
Mailing address
16783 IVES STREET EXT, WATERTOWN, NY 13601-5312
(315) 788-5377
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014852-1
NY
225XP0200X
Pediatric Occupational Therapist
056.007372
IL
Other
Enumeration date
04/02/2007
Last updated
10/30/2008
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