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1013498138
JENNA DESIDERIO
KENMORE, NY
NPI
1013498138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 022851)
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
JENNA DESIDERIO OTR/L
3767 DELAWARE AVE
KENMORE, NY 14217-1040
Phone number: 716-874-6175
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Mailing Address
JENNA DESIDERIO OTR/L
90 BYRON AVE
BUFFALO, NY 14223-2724
Phone number: 716-603-0885
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