MEDICARE: CAITLIN CHOCIEJ 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
1	225XP0200X	Pediatric Occupational Therapist	021100	NY

General Provider Information

NPI Number	:	1811432883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN CHOCIEJ MS, OTR/L

Provider Business Mailing Address
First Line	:	PO BOX 664
Second Line	:
City	:	NAPLES
State	:	NY
Zip	:	14512-0664
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 ELMWOOD AVE STE 400
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-3092
Country	:	US
Telephone Number	:	585-271-0680
Fax Number	:

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

Provider Enumeration Date	:	12/30/2016
Last Update Date	:	04/21/2022

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