National Provider Identifier
Cassandra Joan Kiechle, OTR/L
Cassandra Joan Kiechle, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fairport, NY and a listed phone number of (585) 377-2230.
Profile Overview
- NPI
- 1437818861
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- December 13, 2021
- Last Updated
- December 13, 2021
Practice Location
- 149 N Main St
- Fairport, NY 14450-1434
Phone: (585) 377-2230
Mailing Address
- 190 Parrish St # 1A-3
- Canandaigua, NY 14424-1724
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1437818861
- Entity Type
- Individual
- Last Name
- Kiechle
- First Name
- Cassandra
- Middle Name
- Joan
- Credential
- OTR/L
- Mailing Street Address
- 190 Parrish St # 1A-3
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1724
- Mailing Country
- US
- Mailing Phone
- (315) 767-4543
- Practice Street Address
- 149 N Main St
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1434
- Practice Country
- US
- Practice Phone
- (585) 377-2230
- Practice Fax
- (585) 377-2243
- Enumeration Date
- December 13, 2021
- Last Updated
- December 13, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 13, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)
- Other Identifiers
- 464409 (The National Board For Certification In Occupational Therapy, Inc.), 026366-01 (NY, New York State Education Department)