National Provider Identifier

Kathleen M Hollabaugh

Kathleen M Hollabaugh is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Elba, NY and a listed phone number of (585) 757-9992.

NPI 1457501553Elba, NYOccupational Therapy Assistant

Profile Overview

NPI
1457501553
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
September 25, 2008
Last Updated
September 25, 2008

Practice Location

  • 4324 Ridge RD
  • Elba, NY 14058-9763

Phone: (585) 757-9992

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1457501553
Entity Type
Individual
Last Name
Hollabaugh
First Name
Kathleen
Middle Name
M
Provider Other Last Name
Miller
Provider Other First Name
Kathleen
Provider Other Middle Name
M
Provider Other Credential Text
COTA
Provider Other Last Name Type Code
1
Mailing Street Address
4324 Ridge RD
Mailing City
Elba
Mailing State
NY
Mailing ZIP Code
14058-9763
Mailing Country
US
Mailing Phone
(585) 757-9992
Practice Street Address
4324 Ridge RD
Practice City
Elba
Practice State
NY
Practice ZIP Code
14058-9763
Practice Country
US
Practice Phone
(585) 757-9992
Enumeration Date
September 25, 2008
Last Updated
September 25, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)