Kelly Ann Degnan, OTR/L
Occupational Therapist in Whitestone, NY. Individual provider (NPI-1).
NPI number1104525005
StatusActive
Last updated in NPPESMar 29, 2023
Details
- NPI
- 1104525005
- Entity type
- Individual (NPI-1)
- Name
- Kelly Ann Degnan
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2023
- Certification date
- Mar 29, 2023
- Last updated
- Mar 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 027766 | NY | Yes |
Practice location
15050 14th RdWhitestone, NY 11357-2609
Phone 718-767-0071
Mailing address
14 Winter StLynbrook, NY 11563-1451
Phone 917-923-1619
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