Individual
MS. KATHLEEN MOORE CAPENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
503 NATICK CIR, CAMILLUS, NY 13031-2071
(315) 391-6390
Mailing address
503 NATICK CIR, CAMILLUS, NY 13031-2071
(315) 391-6390
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003554-1
NY
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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