National Provider Identifier
Kimberly Diane Phillips, OT/L, CSSID
Kimberly Diane Phillips, OT/L, CSSID is listed in the NPPES registry with a primary specialty of Occupational Therapist in Clymer, NY and a listed phone number of (716) 355-4444.
Profile Overview
- NPI
- 1851673859
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- September 15, 2011
- Last Updated
- September 15, 2011
Practice Location
- 8672 E Main St
- Clymer, NY 14724-9713
Phone: (716) 355-4444
Mailing Address
- 7374 Dar Ln
- North East, PA 16428-3886
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1851673859
- Entity Type
- Individual
- Last Name
- Phillips
- First Name
- Kimberly
- Middle Name
- Diane
- Name Prefix
- Mrs.
- Credential
- OT/L, CSSID
- Mailing Street Address
- 7374 Dar Ln
- Mailing City
- North East
- Mailing State
- PA
- Mailing ZIP Code
- 16428-3886
- Mailing Country
- US
- Mailing Phone
- (814) 725-3637
- Practice Street Address
- 8672 E Main St
- Practice City
- Clymer
- Practice State
- NY
- Practice ZIP Code
- 14724-9713
- Practice Country
- US
- Practice Phone
- (716) 355-4444
- Practice Fax
- (716) 355-4467
- Enumeration Date
- September 15, 2011
- Last Updated
- September 15, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)