STEPHANY MICHELLE FACKLAM

KENMORE, NY
NPI1245953082
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  026341)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: NY  461276)
Enumeration Date2022-09-26
Last Update Date2022-09-26
Business Address
Ms. STEPHANY MICHELLE FACKLAM OTR/L
3767 DELAWARE AVE
KENMORE, NY 14217-1040
Phone number: 716-874-6175
Mailing Address
Ms. STEPHANY MICHELLE FACKLAM OTR/L
6163 CROSBY RD
LOCKPORT, NY 14094-7949
Phone number: