Individual
KERRY IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8282 WILLETT PKWY, BALDWINSVILLE, NY 13027-1306
(315) 857-0800
Mailing address
1 LAURENS WAY, BALDWINSVILLE, NY 13027
(315) 382-7964
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011890
NY
Other
Enumeration date
04/08/2007
Last updated
10/06/2013
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