Most Relevant Information
Provider Data
| NPI Number: | 1003257866 |
| Provider Name: | KASSIDY JOY KRAUS |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 017434 |
Most Important Dates
| Enumeration Date: | 07/09/2013 |
| Last Updated: | 07/09/2013 |
Provider Practice Location
8282 WILLETT PKWY
BALDWINSVILLE
NY
130271306
Practice Location Phone/Fax
| Phone: | 3158570800 |
| Fax: | 3158570803 |
Provider Mailing Location
430 PANGBORN RD
HASTINGS
NY
130763138
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |