National Provider Identifier

Kayle Miranda Gordnier, COTA/L

Kayle Miranda Gordnier, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Wellsville, NY and a listed phone number of (585) 593-5700.

NPI 1720507551Wellsville, NYOccupational Therapy Assistant

Profile Overview

NPI
1720507551
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
September 13, 2017
Last Updated
September 13, 2017

Practice Location

  • 240 Oconnor St
  • Wellsville, NY 14895-1055

Phone: (585) 593-5700

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1720507551
Entity Type
Individual
Last Name
Gordnier
First Name
Kayle
Middle Name
Miranda
Name Prefix
MS.
Credential
COTA/L
Mailing Street Address
240 Oconnor St
Mailing City
Wellsville
Mailing State
NY
Mailing ZIP Code
14895-1055
Mailing Country
US
Mailing Phone
(585) 593-5700
Mailing Fax
(585) 593-4529
Practice Street Address
240 Oconnor St
Practice City
Wellsville
Practice State
NY
Practice ZIP Code
14895-1055
Practice Country
US
Practice Phone
(585) 593-5700
Practice Fax
(585) 593-4529
Enumeration Date
September 13, 2017
Last Updated
September 13, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)