National Provider Identifier

Kelly M O'Neil, COTA/L

Kelly M O'Neil, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Attica, NY and a listed phone number of (585) 721-0056.

NPI 1790937944Attica, NYOccupational Therapy Assistant

Profile Overview

NPI
1790937944
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
October 21, 2008
Last Updated
October 21, 2008

Practice Location

  • 7 Windsor St
  • Attica, NY 14011-1208

Phone: (585) 721-0056

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1790937944
Entity Type
Individual
Last Name
O'Neil
First Name
Kelly
Middle Name
M
Credential
COTA/L
Provider Other Last Name
Bollin
Provider Other First Name
Kelly
Provider Other Middle Name
M
Provider Other Credential Text
COTA/L
Provider Other Last Name Type Code
1
Mailing Street Address
7 Windsor St
Mailing City
Attica
Mailing State
NY
Mailing ZIP Code
14011-1208
Mailing Country
US
Mailing Phone
(585) 721-0056
Practice Street Address
7 Windsor St
Practice City
Attica
Practice State
NY
Practice ZIP Code
14011-1208
Practice Country
US
Practice Phone
(585) 721-0056
Enumeration Date
October 21, 2008
Last Updated
October 21, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)