Individual
KELLY M O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7 WINDSOR ST, ATTICA, NY 14011-1208
(585) 721-0056
Mailing address
7 WINDSOR ST, ATTICA, NY 14011-1208
(585) 721-0056
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004321
NY
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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