National Provider Identifier

Shea Simmons

Shea Simmons is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (585) 434-7767.

NPI 1417737974Rochester, NYOccupational Therapist

Profile Overview

NPI
1417737974
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
October 03, 2023
Last Updated
October 03, 2023

Practice Location

  • 2099 W Ridge RD
  • Rochester, NY 14626-2728

Phone: (585) 434-7767

Mailing Address

  • 106 Yacht Club Dr
  • Canandaigua, NY 14424-2486

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1417737974
Entity Type
Individual
Last Name
Simmons
First Name
Shea
Mailing Street Address
106 Yacht Club Dr
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-2486
Mailing Country
US
Practice Street Address
2099 W Ridge RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-2728
Practice Country
US
Practice Phone
(585) 434-7767
Enumeration Date
October 03, 2023
Last Updated
October 03, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
October 03, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)