JACKIE KATHLEEN PROFERA

ALBANY, NY
NPI1982177341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  009663-1)
Enumeration Date2019-01-09
Last Update Date2019-01-09
Business Address
JACKIE KATHLEEN PROFERA COTA/L
43 NEW SCOTLAND AVE
ALBANY, NY 12208-3412
Phone number: 518-262-3291
Mailing Address
JACKIE KATHLEEN PROFERA COTA/L
43 NEW SCOTLAND AVE
ALBANY, NY 12208-3478
Phone number: