National Provider Identifier

Kelly Hines, COTA

Kelly Hines, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Canandaigua, NY and a listed phone number of (585) 393-0554.

NPI 1770813008Canandaigua, NYOccupational Therapy Assistant

Profile Overview

NPI
1770813008
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
January 08, 2010
Last Updated
January 08, 2010

Practice Location

  • 275 Parrish St
  • Canandaigua, NY 14424-1785

Phone: (585) 393-0554

Mailing Address

  • 8240 Honeysuckle Dr
  • Liverpool, NY 13090-6839

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1770813008
Entity Type
Individual
Last Name
Hines
First Name
Kelly
Name Prefix
Mrs.
Credential
COTA
Mailing Street Address
8240 Honeysuckle Dr
Mailing City
Liverpool
Mailing State
NY
Mailing ZIP Code
13090-6839
Mailing Country
US
Mailing Phone
(315) 751-1510
Practice Street Address
275 Parrish St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1785
Practice Country
US
Practice Phone
(585) 393-0554
Enumeration Date
January 08, 2010
Last Updated
January 08, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)