National Provider Identifier

Kenita Theresa Williams, OTR/L

Kenita Theresa Williams, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 892-2062.

NPI 1063991545Buffalo, NYOccupational Therapist

Profile Overview

NPI
1063991545
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
August 07, 2018
Last Updated
August 07, 2018

Practice Location

  • 2980 William St
  • Buffalo, NY 14227-1918

Phone: (716) 892-2062

Mailing Address

  • 106 Normal Ave Apt 2
  • Buffalo, NY 14213-2500

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1063991545
Entity Type
Individual
Last Name
Williams
First Name
Kenita
Middle Name
Theresa
Credential
OTR/L
Mailing Street Address
106 Normal Ave Apt 2
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-2500
Mailing Country
US
Mailing Phone
(347) 707-2264
Practice Street Address
2980 William St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14227-1918
Practice Country
US
Practice Phone
(716) 892-2062
Enumeration Date
August 07, 2018
Last Updated
August 07, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)
Other Identifiers
022730 (NY, License)