National Provider Identifier

Kaelyn Joy Pemberton, COTA

Kaelyn Joy Pemberton, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Olean, NY and a listed phone number of (716) 376-8200.

NPI 1336617133Olean, NYOccupational Therapy Assistant

Profile Overview

NPI
1336617133
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
November 09, 2018
Last Updated
November 09, 2018

Practice Location

  • 1825 Windfall RD
  • Olean, NY 14760-9333

Phone: (716) 376-8200

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1336617133
Entity Type
Individual
Last Name
Pemberton
First Name
Kaelyn
Middle Name
Joy
Credential
COTA
Mailing Street Address
1825 Windfall RD
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-9333
Mailing Country
US
Practice Street Address
1825 Windfall RD
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-9333
Practice Country
US
Practice Phone
(716) 376-8200
Enumeration Date
November 09, 2018
Last Updated
November 09, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)