National Provider Identifier
Ellen Crean, OTR/L
Ellen Crean, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1366923880
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- August 23, 2018
- Last Updated
- July 13, 2023
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 129 N Tradd Street
- Statesville, NC 28677
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1366923880
- Entity Type
- Individual
- Last Name
- Crean
- First Name
- Ellen
- Credential
- OTR/L
- Provider Other Last Name
- Gristock
- Provider Other First Name
- Ellen
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 129 N Tradd Street
- Mailing City
- Statesville
- Mailing State
- NC
- Mailing ZIP Code
- 28677
- Mailing Country
- US
- Mailing Phone
- (704) 380-0799
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- August 23, 2018
- Last Updated
- July 13, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)