| Kathleen Wilson, OTR | |
|
464 Route 17a, Florida, NY 10921-1014 | |
| (845) 651-2251 | |
| Not Available |
| Full Name | Kathleen Wilson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 464 Route 17a, Florida, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235417098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 002885-1 (New York) | Primary |
| Provider Name | Bold Coast Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1912575069 PECOS PAC ID: 0941678841 Enrollment ID: O20221128001221 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Wilson, OTR 72 Prices Switch Rd, Warwick, NY 10990-2324 Ph: () - | Kathleen Wilson, OTR 464 Route 17a, Florida, NY 10921-1014 Ph: (845) 651-2251 |
Mrs. Cynthia Jane Santo, BASIC MASTERS OT;LIC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 468 Route 17a, Dynamic Center Inc, Florida, NY 10921 Phone: 845-651-2251 Fax: 845-651-2258 | |
Ms. Kelsey Cole, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Industrial Dr, Florida, NY 10921 Phone: 845-651-2535 | |
Vernelle Dorvil, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 464 Route 17a, Florida, NY 10921 Phone: 854-651-2251 |