National Provider Identifier
Katie Randorf
Katie Randorf is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1750015525
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- July 15, 2022
- Last Updated
- July 15, 2022
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 15 Autumn Creek Ln Apt D
- East Amherst, NY 14051-2905
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1750015525
- Entity Type
- Individual
- Last Name
- Randorf
- First Name
- Katie
- Mailing Street Address
- 15 Autumn Creek Ln Apt D
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-2905
- Mailing Country
- US
- Mailing Phone
- (518) 878-3879
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- July 15, 2022
- Last Updated
- July 15, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 15, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)