Individual
JENNIE KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
380 DRAKE DR, NORTH TONAWANDA, NY 14120-1646
(716) 807-3725
Mailing address
23 CHIPMAN PL, NORTH TONAWANDA, NY 14120-4305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007395-01
NY
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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