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NPI Code Detail

MEDICARE: KELLY FRANCES GREGOIRE MS, OTR/L

MEDICARE: KELLY FRANCES GREGOIRE MS, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist031001NY

General Provider Information

NPI Number : 1922941566
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY FRANCES GREGOIRE MS, OTR/L
Provider Business Mailing Address
First Line : 3205 HICKOX RD
Second Line :
City : HAMBURG
State : NY
Zip : 14075-6726
Country : US
Telephone Number : 716-863-8835
Fax Number :
Provider Business Practice Location Address
First Line : 162 MAIN ST
Second Line :
City : HAMBURG
State : NY
Zip : 14075-4917
Country : US
Telephone Number : 887-246-2396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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