Individual
MRS. BRENDA JEAN KOCHANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
15 SCHOOL ST, SHERBURNE, NY 13460-9505
(607) 674-7336
Mailing address
15 SCHOOL ST, SHERBURNE, NY 13460-9505
(607) 674-7336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004584-1
NY
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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