National Provider Identifier
Lisa E Kedron, OTR/L
Lisa E Kedron, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Depew, NY and a listed phone number of (716) 445-5588.
Profile Overview
- NPI
- 1205940517
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- August 17, 2006
- Last Updated
- March 13, 2013
Practice Location
- 152 Cheryl Ln
- Depew, NY 14043-1415
Phone: (716) 445-5588
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1205940517
- Entity Type
- Individual
- Last Name
- Kedron
- First Name
- Lisa
- Middle Name
- E
- Name Prefix
- MS.
- Credential
- OTR/L
- Mailing Street Address
- 152 Cheryl Ln
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-1415
- Mailing Country
- US
- Mailing Phone
- (716) 445-5588
- Practice Street Address
- 152 Cheryl Ln
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-1415
- Practice Country
- US
- Practice Phone
- (716) 445-5588
- Practice Fax
- (888) 619-0673
- Enumeration Date
- August 17, 2006
- Last Updated
- March 13, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)
- Other Identifiers
- 00027431401 (NY, Univera)