Individual
LARA J KLEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
70 KUKUK LN, KINGSTON, NY 12401-6943
(845) 336-2616
Mailing address
70 KUKUK LN, KINGSTON, NY 12401-6943
(845) 336-2616
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009062-1
NY
Other
Enumeration date
08/23/2016
Last updated
01/20/2021
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