Most Relevant Information
Provider Data
| NPI Number: | 1003416314 |
| Provider Name: | KIMBERLY ANN COUSE |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 025096 |
Most Important Dates
| Enumeration Date: | 10/27/2020 |
| Last Updated: | 10/27/2020 |
Provider Practice Location
600 PARDEE RD
IRONDEQUOIT
NY
146092810
Practice Location Phone/Fax
| Phone: | 5853391376 |
| Fax: |
Provider Mailing Location
14 DAVY DR
ROCHESTER
NY
146241348
Provider Mailing Phone/Fax
| Phone: | 5857379725 |
| Fax: |