Kristen Canfield Bacon, OTD, MS, OTR/L

Occupational Therapist · Elmira, NY

Individual Active NPI

NPI number 1174917561

Practice location

600 Roe Ave
Elmira, NY 14901
Phone
(607) 737-4100

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NPI record

NPI
1174917561
Entity type
Individual (Type 1)
Enumeration date
March 24, 2015
Last updated
March 24, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 015180-1 NY

Mailing address

3494 County Road 28
Watkins Glen, NY 14891-9748

About Kristen Bacon

Kristen Canfield Bacon, OTD, MS, OTR/L is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 600 Roe Ave, Elmira, NY 14901. The NPI number 1174917561 was assigned on March 24, 2015 and the record was last updated on March 24, 2015.

Kristen Bacon lists a license in the registry: #015180-1 (NY) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kristen Canfield Bacon, OTD, MS, OTR/L?

The NPI number is 1174917561.

What is the phone number of Kristen Bacon?

The phone number listed for the practice location is (607) 737-4100.

Where is Kristen Bacon located?

600 Roe Ave, Elmira, NY 14901.

What is the taxonomy code for Kristen Bacon?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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