National Provider Identifier
Katheryne Mae Ellis, OTR/L
Katheryne Mae Ellis, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Bloomfield, NY and a listed phone number of (585) 749-6827.
Profile Overview
- NPI
- 1376193482
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- September 19, 2019
- Last Updated
- September 19, 2019
Practice Location
- 2635 Rabbit Run
- Bloomfield, NY 14469-9550
Phone: (585) 749-6827
Specialties
- Occupational Therapist (225X00000X)
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1376193482
- Entity Type
- Individual
- Last Name
- Ellis
- First Name
- Katheryne
- Middle Name
- Mae
- Credential
- OTR/L
- Mailing Street Address
- 2635 Rabbit Run
- Mailing City
- Bloomfield
- Mailing State
- NY
- Mailing ZIP Code
- 14469-9550
- Mailing Country
- US
- Mailing Phone
- (585) 749-6827
- Practice Street Address
- 2635 Rabbit Run
- Practice City
- Bloomfield
- Practice State
- NY
- Practice ZIP Code
- 14469-9550
- Practice Country
- US
- Practice Phone
- (585) 749-6827
- Enumeration Date
- September 19, 2019
- Last Updated
- September 19, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X), Occupational Therapist (225X00000X)