Brenda Jean Kochanowski, OT

Individual provider Active NPI Occupational Therapist · Sherburne, NY

NPI 1821370677 · NPPES record last updated Sep 16, 2011

Key facts

NPI
1821370677
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
004584-1 (NY)
Practice address
15 School St
Sherburne, NY 13460-9505
Phone
(607) 674-7336
NPI assigned
Sep 16, 2011
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
004584-1NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 004584-1 NY Yes

Addresses

Primary practice location

15 School St
Sherburne, NY 13460-9505

Mailing address

15 School St
Sherburne, NY 13460-9505
Phone (607) 674-7336

Other providers in Sherburne, NY

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

Sources for this page

Verify at the official NPI Registry.