Individual
MRS. MICHELE KMITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2495 MAIN ST, SUITE 234, BUFFALO, NY 14214-2152
(716) 836-5929
Mailing address
6835 JEWETT HOLMWOOD RD, ORCHARD PARK, NY 14127-3021
(171) 667-3031
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0034321
NY
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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