Individual
MISS KIMBERLY GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
12354 FERRIS RD, CATO, NY 13033-3138
(315) 243-1478
Mailing address
12354 FERRIS RD, CATO, NY 13033-3138
(315) 243-1478
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
P11152
NY
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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