MEDICARE: KELSY ALLESSI OTR

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
1	225X00000X	Occupational Therapist		NY

General Provider Information

NPI Number	:	1144848409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSY ALLESSI OTR

Provider Business Mailing Address
First Line	:	PO BOX 108
Second Line	:
City	:	HILTON
State	:	NY
Zip	:	14468-0108
Country	:	US
Telephone Number	:	585-754-0664
Fax Number	:

Provider Business Practice Location Address
First Line	:	6745 PITTSFORD PALMYRA RD
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450-3343
Country	:	US
Telephone Number	:	585-223-3633
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2020
Last Update Date	:	07/13/2020

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Directions to “ KELSY ALLESSI OTR” Practice Location

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