Healthcare Provider Details

I. General information

NPI: 1356236947
Provider Name (Legal Business Name): KYLEE OLIVIA WOJCIECHOWSKI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MOUNTAIN LEDGE
WILTON NY
12831-2539
US

IV. Provider business mailing address

10 MOUNTAIN LEDGE
WILTON NY
12831-2539
US

V. Phone/Fax

Practice location:
  • Phone: 518-306-1808
  • Fax: 518-836-0673
Mailing address:
  • Phone: 518-306-1808
  • Fax: 518-836-0673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number030273
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: