National Provider Identifier
Kelly O'Neill Fortner, MOTR/L
Kelly O'Neill Fortner, MOTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 875-6963.
Profile Overview
- NPI
- 1174874564
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- September 25, 2012
- Last Updated
- September 25, 2012
Practice Location
- 118 Chatham Ave
- Buffalo, NY 14216-3137
Phone: (716) 875-6963
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1174874564
- Entity Type
- Individual
- Last Name
- Fortner
- First Name
- Kelly
- Middle Name
- O'Neill
- Name Prefix
- Mrs.
- Credential
- MOTR/L
- Mailing Street Address
- 118 Chatham Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-3137
- Mailing Country
- US
- Mailing Phone
- (716) 875-6963
- Practice Street Address
- 118 Chatham Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14216-3137
- Practice Country
- US
- Practice Phone
- (716) 875-6963
- Enumeration Date
- September 25, 2012
- Last Updated
- September 25, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)