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General NPI Number Information
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NPI Number | 1174460646
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Entity Type | Organization
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Legal Business Name | KELLY MORISSETTE ALBERT MS OTR/L
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 121 MAIN ST
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City | ESPERANCE
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State | NY
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Zip | 12066-3219
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Country | US
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Telephone | 518-595-9533
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Fax |
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Provider Business Mailing Address
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Address Line | 121 MAIN ST
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City | ESPERANCE
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State | NY
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Zip | 12066-3219
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Country | US
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Telephone | 518-595-9533
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | KELLY KELLY MORISSETTE ALBERT
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Credential | MS OTR/L
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Telephone | 518-585-5955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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