National Provider Identifier
Kristen Nicole Fort, MS OTR/L
Kristen Nicole Fort, MS 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) 829-9624.
Profile Overview
- NPI
- 1184142093
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- August 31, 2017
- Last Updated
- February 27, 2024
Practice Location
- 30 Olcott Ave
- Buffalo, NY 14220-1510
Phone: (716) 829-9624
Mailing Address
- 2495 Main St Ste 234
- Buffalo, NY 14214-2152
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1184142093
- Entity Type
- Individual
- Last Name
- Fort
- First Name
- Kristen
- Middle Name
- Nicole
- Credential
- MS OTR/L
- Mailing Street Address
- 2495 Main St Ste 234
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-2152
- Mailing Country
- US
- Mailing Phone
- (716) 836-5929
- Mailing Fax
- (716) 836-6057
- Practice Street Address
- 30 Olcott Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14220-1510
- Practice Country
- US
- Practice Phone
- (716) 829-9624
- Enumeration Date
- August 31, 2017
- Last Updated
- February 27, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 27, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)