National Provider Identifier
Traci Anne Wihlen, C.O.T.A.
Traci Anne Wihlen, C.O.T.A. is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Rochester, NY and a listed phone number of (585) 339-1200.
Profile Overview
- NPI
- 1952691727
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- April 14, 2011
- Last Updated
- April 14, 2011
Practice Location
- 600 Pardee RD
- Rochester, NY 14609-2810
Phone: (585) 339-1200
Mailing Address
- 40 Trillium Ln
- West Henrietta, NY 14586-9513
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1952691727
- Entity Type
- Individual
- Last Name
- Wihlen
- First Name
- Traci
- Middle Name
- Anne
- Name Prefix
- Mrs.
- Credential
- C.O.T.A.
- Provider Other Last Name
- Boardman
- Provider Other First Name
- Traci
- Provider Other Middle Name
- Anne
- Provider Other Credential Text
- C.O.T.A.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 40 Trillium Ln
- Mailing City
- West Henrietta
- Mailing State
- NY
- Mailing ZIP Code
- 14586-9513
- Mailing Country
- US
- Mailing Phone
- (585) 339-1555
- Practice Street Address
- 600 Pardee RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-2810
- Practice Country
- US
- Practice Phone
- (585) 339-1200
- Enumeration Date
- April 14, 2011
- Last Updated
- April 14, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)
- Other Identifiers
- AA555243 (National Board For Certification Of Occupational Therapy)