National Provider Identifier

Dorothy Ann Kieck

Dorothy Ann Kieck is listed in the NPPES registry with a primary specialty of Occupational Therapist in Newark, NY and a listed phone number of (315) 548-6631.

NPI 1831473347Newark, NYOccupational Therapist

Profile Overview

NPI
1831473347
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
October 03, 2011
Last Updated
October 03, 2011

Practice Location

  • 131 Drumlin Ct
  • Newark, NY 14513-1863

Phone: (315) 548-6631

Mailing Address

  • 5786 Dalton Dr
  • Farmington, NY 14425-9329

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1831473347
Entity Type
Individual
Last Name
Kieck
First Name
Dorothy
Middle Name
Ann
Name Prefix
Mrs.
Mailing Street Address
5786 Dalton Dr
Mailing City
Farmington
Mailing State
NY
Mailing ZIP Code
14425-9329
Mailing Country
US
Mailing Phone
(585) 905-1743
Practice Street Address
131 Drumlin Ct
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1863
Practice Country
US
Practice Phone
(315) 548-6631
Enumeration Date
October 03, 2011
Last Updated
October 03, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)
Other Identifiers
004848-1 (NY, State Licence)