National Provider Identifier
Krista Marlene Celso, OTR; PTA
Krista Marlene Celso, OTR; PTA is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (585) 544-4000.
Profile Overview
- NPI
- 1780837492
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 25, 2008
- Last Updated
- October 25, 2008
Practice Location
- 1335 Portland Ave
- Rochester, NY 14621-2706
Phone: (585) 544-4000
Mailing Address
- 57 Mill St
- Clyde, NY 14433-1412
Specialties
- Occupational Therapist (225X00000X)
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1780837492
- Entity Type
- Individual
- Last Name
- Celso
- First Name
- Krista
- Middle Name
- Marlene
- Name Prefix
- Mrs.
- Credential
- OTR; PTA
- Provider Other Last Name
- Fratangelo
- Provider Other First Name
- Krista
- Provider Other Middle Name
- Marlene
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- PTA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 57 Mill St
- Mailing City
- Clyde
- Mailing State
- NY
- Mailing ZIP Code
- 14433-1412
- Mailing Country
- US
- Mailing Phone
- (315) 923-7761
- Practice Street Address
- 1335 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2706
- Practice Country
- US
- Practice Phone
- (585) 544-4000
- Enumeration Date
- October 25, 2008
- Last Updated
- October 25, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X), Physical Therapy Assistant (225200000X)