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NPI Code Detail

MEDICARE: MRS. KELLY ANN WOJTKOWIAK

MEDICARE:  MRS. KELLY ANN WOJTKOWIAK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist020333-1NY

General Provider Information

NPI Number : 1659524718
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELLY ANN WOJTKOWIAK
Provider Business Mailing Address
First Line : 1864 RYAN RD
Second Line :
City : ALMOND
State : NY
Zip : 14804-9729
Country : US
Telephone Number : 607-276-2013
Fax Number :
Provider Business Practice Location Address
First Line : 1864 RYAN RD
Second Line :
City : ALMOND
State : NY
Zip : 14804-9729
Country : US
Telephone Number : 607-276-2013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2008
Last Update Date : 11/02/2008

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Directions to “ MRS. KELLY ANN WOJTKOWIAK ” Practice Location

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