Most Relevant Information
Provider Data
| NPI Number: | 1003201070 |
| Provider Name: | KATHRYN ALEXANDRA MOTSKO KACZOR OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 0119006858 |
Most Important Dates
| Enumeration Date: | 04/06/2015 |
| Last Updated: | 04/02/2024 |
Provider Practice Location
1695 ALLEN GLEN RD
OWEGO
NY
138273433
Practice Location Phone/Fax
| Phone: | 6077257420 |
| Fax: | 6076874249 |
Provider Mailing Location
123 N ARCH ST
JOHNSON CITY
NY
137901427
Provider Mailing Phone/Fax
| Phone: | 6072391817 |
| Fax: |