Individual
THERESA KANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9331 S PROTECTION RD, HOLLAND, NY 14080-9544
(716) 598-5283
Mailing address
9331 S PROTECTION RD, HOLLAND, NY 14080-9544
(716) 598-5283
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
NY
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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