Doctor Name: | MS. KELLY A. O'MALLEY |
NPI Number: | 1730368572 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 029803 |
Business Practice Address: | 141 Sully's Trail Suite 9 Pittsford, NY - 14534 |
Business Phone Number: | 5853870430 |
Business Fax Number: | 5853870431 |
Mailing Address: | 141 Sully's Trail, Suite 9 PITTSFORD |
State: | NY |
Postal Code: | 14534 |
Phone Number: | 5853870430 |
Fax Number: | 5853870431 |
NPI Enumeration Date: | 10/29/2007 |
NPI Last Update Date: | 09/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 029803 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |