National Provider Identifier

Kathleen Janet Bushnell, COTA

Kathleen Janet Bushnell, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Randolph, NY and a listed phone number of (716) 358-3985.

NPI 1366723496Randolph, NYOccupational Therapy Assistant

Profile Overview

NPI
1366723496
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
September 02, 2011
Last Updated
September 02, 2011

Practice Location

  • 18 Main St
  • Randolph, NY 14772-1112

Phone: (716) 358-3985

Mailing Address

  • 125 Johnson St
  • Gowanda, NY 14070-1324

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1366723496
Entity Type
Individual
Last Name
Bushnell
First Name
Kathleen
Middle Name
Janet
Credential
COTA
Mailing Street Address
125 Johnson St
Mailing City
Gowanda
Mailing State
NY
Mailing ZIP Code
14070-1324
Mailing Country
US
Practice Street Address
18 Main St
Practice City
Randolph
Practice State
NY
Practice ZIP Code
14772-1112
Practice Country
US
Practice Phone
(716) 358-3985
Enumeration Date
September 02, 2011
Last Updated
September 02, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)