Individual provider · Type 1 NPI

Angie Lee Kwon

Developmental Therapist · Rochester, NY

NPI number 1194159889 Active

Practice location

1870 Winton Rd S
Rochester, NY 14618-3960

Call (585) 697-1557 Map

Fax (315) 697-5692

Mailing address

1045 James St
Syracuse, NY 13203-2730

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X2516964 (NY)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1194159889

Angie Lee Kwon's National Provider Identifier is 1194159889, issued on Aug 29, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Rochester, NY. The record was last updated on Aug 29, 2013.