National Provider Identifier
Katie Kimble, COTA
Katie Kimble, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Victor, NY and a listed phone number of (585) 924-7207.
Profile Overview
- NPI
- 1235845868
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- January 26, 2023
- Last Updated
- January 26, 2023
Practice Location
- 590 Fishers Station Dr Ste 130
- Victor, NY 14564-9744
Phone: (585) 924-7207
Mailing Address
- 29 Twin Ponds Dr
- Spencerport, NY 14559-1037
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1235845868
- Entity Type
- Individual
- Last Name
- Kimble
- First Name
- Katie
- Credential
- COTA
- Mailing Street Address
- 29 Twin Ponds Dr
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559-1037
- Mailing Country
- US
- Mailing Phone
- (585) 225-5099
- Practice Street Address
- 590 Fishers Station Dr Ste 130
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-9744
- Practice Country
- US
- Practice Phone
- (585) 924-7207
- Enumeration Date
- January 26, 2023
- Last Updated
- January 26, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 26, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)