National Provider Identifier

Danielle L Kistler

Danielle L Kistler is listed in the NPPES registry with a primary specialty of Occupational Therapist in Brockport, NY and a listed phone number of (585) 637-3140.

NPI 1033937131Brockport, NYOccupational Therapist

Profile Overview

NPI
1033937131
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
September 30, 2024
Last Updated
September 30, 2024

Practice Location

  • 90 West Ave
  • Brockport, NY 14420-1306

Phone: (585) 637-3140

Mailing Address

  • 663 Sharon Dr
  • Rochester, NY 14626-1952

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1033937131
Entity Type
Individual
Last Name
Kistler
First Name
Danielle
Middle Name
L
Mailing Street Address
663 Sharon Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-1952
Mailing Country
US
Mailing Phone
(585) 305-5741
Practice Street Address
90 West Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1306
Practice Country
US
Practice Phone
(585) 637-3140
Enumeration Date
September 30, 2024
Last Updated
September 30, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
September 13, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)