National Provider Identifier
Diane Kelly
Diane Kelly 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
- 1659537462
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- July 31, 2008
- Last Updated
- July 31, 2008
Practice Location
- 149 N Main St
- Fairport, NY 14450-1434
Phone: (585) 377-2230
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1659537462
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Diane
- Mailing Street Address
- 149 N Main St
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1434
- Mailing Country
- US
- Mailing Phone
- (585) 377-2230
- Mailing Fax
- (585) 377-2312
- 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) 377-2312
- Enumeration Date
- July 31, 2008
- Last Updated
- July 31, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)
- Other Identifiers
- 003625-1 (NY)