Individual
MRS. JOANNA JANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT/L
Contact information
Practice address
3141 TIMBERLEA LN., BALDWINSVILLE, NY 13027
(315) 635-6839
Mailing address
3141 TIMBERLEA LN, BALDWINSVILLE, NY 13027-1721
(315) 635-6839
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
P89464
NY
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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