National Provider Identifier
Kelly Ann Richard, COTA
Kelly Ann Richard, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Clarence, NY and a listed phone number of (716) 407-9100.
Profile Overview
- NPI
- 1851672083
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- September 01, 2011
- Last Updated
- September 01, 2011
Practice Location
- 9625 Main Street
- Clarence, NY 14031-2083
Phone: (716) 407-9100
Mailing Address
- 9625 Main St
- Clarence, NY 14031-2001
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1851672083
- Entity Type
- Individual
- Last Name
- Richard
- First Name
- Kelly
- Middle Name
- Ann
- Name Prefix
- Mrs.
- Credential
- COTA
- Mailing Street Address
- 9625 Main St
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-2001
- Mailing Country
- US
- Mailing Phone
- (716) 407-9100
- Practice Street Address
- 9625 Main Street
- Practice City
- Clarence
- Practice State
- NY
- Practice ZIP Code
- 14031-2083
- Practice Country
- US
- Practice Phone
- (716) 407-9100
- Enumeration Date
- September 01, 2011
- Last Updated
- September 01, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)