National Provider Identifier
Kimberly Deangelis, OT
Kimberly Deangelis, OT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Lancaster, NY and a listed phone number of (716) 684-3000.
Profile Overview
- NPI
- 1467630418
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- February 01, 2008
- Last Updated
- February 01, 2008
Practice Location
- 5949 Broadway St
- Lancaster, NY 14086-9523
Phone: (716) 684-3000
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1467630418
- Entity Type
- Individual
- Last Name
- Deangelis
- First Name
- Kimberly
- Credential
- OT
- Mailing Street Address
- 5949 Broadway St
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-9523
- Mailing Country
- US
- Mailing Phone
- (716) 684-3000
- Mailing Fax
- (716) 684-5286
- Practice Street Address
- 5949 Broadway St
- Practice City
- Lancaster
- Practice State
- NY
- Practice ZIP Code
- 14086-9523
- Practice Country
- US
- Practice Phone
- (716) 684-3000
- Practice Fax
- (716) 684-5286
- Enumeration Date
- February 01, 2008
- Last Updated
- February 01, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)
- Other Identifiers
- 335182 (NY, Medicare Provider Id), 01182512 (NY)