National Provider Identifier

Kristen Mayrose, OTR/L

Kristen Mayrose, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Lockport, NY and a listed phone number of (716) 432-6568.

NPI 1780832261Lockport, NYPediatric Occupational Therapist

Profile Overview

NPI
1780832261
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
September 08, 2008
Last Updated
September 08, 2008

Practice Location

  • 5677 S Transit RD
  • #318
  • Lockport, NY 14094-5842

Phone: (716) 432-6568

Mailing Address

  • 7204 Scotland RD
  • Akron, NY 14001-9604

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1780832261
Entity Type
Individual
Last Name
Mayrose
First Name
Kristen
Name Prefix
Mrs.
Credential
OTR/L
Mailing Street Address
7204 Scotland RD
Mailing City
Akron
Mailing State
NY
Mailing ZIP Code
14001-9604
Mailing Country
US
Mailing Phone
(716) 542-2661
Practice Street Address
5677 S Transit RD
Practice Address Line 2
#318
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-5842
Practice Country
US
Practice Phone
(716) 432-6568
Enumeration Date
September 08, 2008
Last Updated
September 08, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X)