Jackie Kathleen Profera, COTA/L
Occupational Therapy Assistant in Albany, NY. Individual provider (NPI-1).
NPI number1982177341
StatusActive
Last updated in NPPESJan 9, 2019
Details
- NPI
- 1982177341
- Entity type
- Individual (NPI-1)
- Name
- Jackie Kathleen Profera
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2019
- Last updated
- Jan 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 009663-1 | NY | Yes |
Practice location
43 New Scotland AveAlbany, NY 12208-3412
Phone 518-262-3291 · Fax 518-262-4492
Mailing address
43 New Scotland AveAlbany, NY 12208-3478
Fax 518-262-4492
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All 90 Occupational Therapy Assistant providers in Albany · All 9,613 providers in Albany
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