National Provider Identifier
Kristen Canfield Bacon, OTD, MS, OTR/L
Kristen Canfield Bacon, OTD, MS, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Elmira, NY and a listed phone number of (607) 737-4100.
Profile Overview
- NPI
- 1174917561
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- March 24, 2015
- Last Updated
- March 24, 2015
Practice Location
- 600 Roe Ave
- Elmira, NY 14901
Phone: (607) 737-4100
Mailing Address
- 3494 County Road 28
- Watkins Glen, NY 14891-9748
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1174917561
- Entity Type
- Individual
- Last Name
- Bacon
- First Name
- Kristen
- Middle Name
- Canfield
- Name Prefix
- Dr.
- Credential
- OTD, MS, OTR/L
- Mailing Street Address
- 3494 County Road 28
- Mailing City
- Watkins Glen
- Mailing State
- NY
- Mailing ZIP Code
- 14891-9748
- Mailing Country
- US
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901
- Practice Country
- US
- Practice Phone
- (607) 737-4100
- Enumeration Date
- March 24, 2015
- Last Updated
- March 24, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)