Provider Demographics
NPI:1356236947
Name:WOJCIECHOWSKI, KYLEE OLIVIA (OTR/L)
Entity type:Individual
Prefix:
First Name:KYLEE
Middle Name:OLIVIA
Last Name:WOJCIECHOWSKI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MOUNTAIN LEDGE
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:NY
Mailing Address - Zip Code:12831-2539
Mailing Address - Country:US
Mailing Address - Phone:518-306-1808
Mailing Address - Fax:518-836-0673
Practice Address - Street 1:10 MOUNTAIN LEDGE
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:NY
Practice Address - Zip Code:12831-2539
Practice Address - Country:US
Practice Address - Phone:518-306-1808
Practice Address - Fax:518-836-0673
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030273225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist