National Provider Identifier

Angela Beth Kiklowicz, OT, CLT, LMT

Angela Beth Kiklowicz, OT, CLT, LMT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Bradford, NY and a listed phone number of (607) 329-3184.

NPI 1669017109Bradford, NYOccupational Therapist

Profile Overview

NPI
1669017109
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
November 07, 2019
Last Updated
November 07, 2019

Practice Location

  • 3590 W Lake RD
  • Bradford, NY 14815-9658

Phone: (607) 329-3184

Specialties

  • Occupational Therapist (225X00000X)
  • Massage Therapist (225700000X)
Full Record
NPI
1669017109
Entity Type
Individual
Last Name
Kiklowicz
First Name
Angela
Middle Name
Beth
Credential
OT, CLT, LMT
Mailing Street Address
3590 W Lake RD
Mailing City
Bradford
Mailing State
NY
Mailing ZIP Code
14815-9658
Mailing Country
US
Mailing Phone
(607) 329-3184
Mailing Fax
(585) 396-6064
Practice Street Address
3590 W Lake RD
Practice City
Bradford
Practice State
NY
Practice ZIP Code
14815-9658
Practice Country
US
Practice Phone
(607) 329-3184
Practice Fax
(585) 396-6064
Enumeration Date
November 07, 2019
Last Updated
November 07, 2019
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 2
193200000X Multi-Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Massage Therapist (225700000X)