Individual
DENISE KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 PARADE PL, NEW WINDSOR, NY 12553-5617
(844) 562-5333
Mailing address
PO BOX 672, CORNWALL, NY 12518-0672
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004899-1
NY
Other
Enumeration date
05/17/2016
Last updated
06/17/2016
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