National Provider Identifier

Kelly Volkmuth Coon, OTR/L

Kelly Volkmuth Coon, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Brockport, NY and a listed phone number of (585) 637-1840.

NPI 1437459088Brockport, NYOccupational Therapist

Profile Overview

NPI
1437459088
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
October 29, 2010
Last Updated
November 01, 2012

Practice Location

  • 40 Allen St
  • Brockport, NY 14420-2228

Phone: (585) 637-1840

Mailing Address

  • 78 Lacey Ln
  • Brockport, NY 14420-9358

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1437459088
Entity Type
Individual
Last Name
Coon
First Name
Kelly
Middle Name
Volkmuth
Name Prefix
Mrs.
Credential
OTR/L
Provider Other Last Name
Volkmuth
Provider Other First Name
Kelly
Provider Other Middle Name
Suzanne
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
OTR/L
Provider Other Last Name Type Code
1
Mailing Street Address
78 Lacey Ln
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-9358
Mailing Country
US
Mailing Phone
(585) 637-2089
Practice Street Address
40 Allen St
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-2228
Practice Country
US
Practice Phone
(585) 637-1840
Enumeration Date
October 29, 2010
Last Updated
November 01, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)