Individual
MRS. MICHELE KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
212 LOCUST LN, SYRACUSE, NY 13219-2120
(315) 478-5119
Mailing address
212 LOCUST LN, SYRACUSE, NY 13219-2120
(315) 478-5119
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001524-1
NY
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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