National Provider Identifier

Kristen O'Dell

Kristen O'Dell is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Boston, NY and a listed phone number of (716) 226-4365.

NPI 1104364132Boston, NYOccupational Therapy Assistant

Profile Overview

NPI
1104364132
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
February 10, 2017
Last Updated
February 10, 2017

Practice Location

  • 8948 Hickory Meadows RD
  • Boston, NY 14025-9679

Phone: (716) 226-4365

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1104364132
Entity Type
Individual
Last Name
O'Dell
First Name
Kristen
Mailing Street Address
8948 Hickory Meadows RD
Mailing City
Boston
Mailing State
NY
Mailing ZIP Code
14025-9679
Mailing Country
US
Mailing Phone
(716) 226-4365
Practice Street Address
8948 Hickory Meadows RD
Practice City
Boston
Practice State
NY
Practice ZIP Code
14025-9679
Practice Country
US
Practice Phone
(716) 226-4365
Enumeration Date
February 10, 2017
Last Updated
February 10, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)
Other Identifiers
007397-1 (NY, State License)