National Provider Identifier
Jennifer Ann Kondolf-Duba, OTR/L
Jennifer Ann Kondolf-Duba, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Canandaigua, NY and a listed phone number of (585) 396-3930.
Profile Overview
- NPI
- 1609158823
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- September 14, 2011
- Last Updated
- September 14, 2011
Practice Location
- 96 W Gibson St
- Canandaigua, NY 14424-1453
Phone: (585) 396-3930
Mailing Address
- 5910 Jones RD
- Canandaigua, NY 14424-8924
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1609158823
- Entity Type
- Individual
- Last Name
- Kondolf-Duba
- First Name
- Jennifer
- Middle Name
- Ann
- Credential
- OTR/L
- Mailing Street Address
- 5910 Jones RD
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-8924
- Mailing Country
- US
- Practice Street Address
- 96 W Gibson St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1453
- Practice Country
- US
- Practice Phone
- (585) 396-3930
- Enumeration Date
- September 14, 2011
- Last Updated
- September 14, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)
- Other Identifiers
- 638130116 (NY)