Individual
KIMBERLY A. SIESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
160 LAWRENCE AVE, BROOKLYN, NY 11230-1103
(718) 436-7896
Mailing address
64 GLENWOOD AVE APT 402, JERSEY CITY, NJ 07306-4615
(347) 463-2580
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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