Most Relevant Information
Provider Data
| NPI Number: | 1003565433 |
| Provider Name: | KRISTEN RODDY COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 011049-01 |
Most Important Dates
| Enumeration Date: | 03/22/2022 |
| Last Updated: | 03/22/2022 |
Provider Practice Location
5317 SACANDAGA RD
GALWAY
NY
120742423
Practice Location Phone/Fax
| Phone: | 5187493041 |
| Fax: |
Provider Mailing Location
1910 CAMBRIDGE MANOR DR
SCOTIA
NY
123022443
Provider Mailing Phone/Fax
| Phone: | 5184611577 |
| Fax: |