Colleen B Aldrich

Individual provider Active NPI Occupational Therapist · Jamestown, NY

NPI 1679976542 · NPPES record last updated Oct 6, 2014

Key facts

NPI
1679976542
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
005164 (NY)
Practice address
75 Jones and Gifford Ave
Jamestown, NY 14701-2828
Phone
(716) 661-1408
Fax
(716) 661-1074
NPI assigned
Oct 6, 2014
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)
Yes

State licenses

LicenseStateTypeSpecialty
005164NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 005164 NY Yes

Addresses

Primary practice location

75 Jones and Gifford Ave
Jamestown, NY 14701-2828

Mailing address

200 Dunham Ave
Jamestown, NY 14701-2528
Phone (716) 661-1408

Other names

  • Colleen B Sax Former name

Other providers in Jamestown, NY

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

Sources for this page

Verify at the official NPI Registry.