Kylie Welcome, OTR/L

Individual provider Active NPI Occupational Therapist · Stillwater, NY

NPI 1235916883 · NPPES record last updated Sep 8, 2023

Key facts

NPI
1235916883
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT24570 (FL)
Practice address
16 Castle Dr
Stillwater, NY 12170-1222
Phone
(518) 779-5311
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT24570FLMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT24570 FL Yes

Addresses

Primary practice location

16 Castle Dr
Stillwater, NY 12170-1222

Mailing address

16 Castle Dr
Stillwater, NY 12170-1222
Phone (518) 779-5311

Other providers in Stillwater, NY

All providers in Stillwater, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.