Individual
KAITLIN LEIDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
130 BEATTIE AVE, LOCKPORT, NY 14094-5023
(716) 478-4800
Mailing address
252 HENNEPIN RD, GRAND ISLAND, NY 14072-2325
(716) 990-7577
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
024842
NY
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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