National Provider Identifier

Kathleen Moore

Kathleen Moore is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (585) 359-3710.

NPI 1326603655Rochester, NYOccupational Therapist

Profile Overview

NPI
1326603655
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
May 02, 2019
Last Updated
May 02, 2019

Practice Location

  • 100 Groton Pkwy
  • Rochester, NY 14623-4540

Phone: (585) 359-3710

Mailing Address

  • 100 Groton Pkwy
  • Rochester, NY 14623-4589

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1326603655
Entity Type
Individual
Last Name
Moore
First Name
Kathleen
Mailing Street Address
100 Groton Pkwy
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-4589
Mailing Country
US
Mailing Phone
(585) 359-3710
Practice Street Address
100 Groton Pkwy
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-4540
Practice Country
US
Practice Phone
(585) 359-3710
Enumeration Date
May 02, 2019
Last Updated
May 02, 2019
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)