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1861630972
JENNIFER ANN FACKELMAN
FAIRPORT, NY
NPI
1861630972
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Former Name
JENNIFER ANN BURNISKY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 008637-1)
Enumeration Date
2009-01-27
Last Update Date
2009-01-27
Business Address
Mrs. JENNIFER ANN FACKELMAN OTR
42 NORBROOK RD
FAIRPORT, NY 14450-8958
Phone number: 585-797-9366
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Mailing Address
Mrs. JENNIFER ANN FACKELMAN OTR
42 NORBROOK RD
FAIRPORT, NY 14450-8958
Phone number: 585-797-9366
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