Provider Demographics
NPI:1568856623
Name:GOLEMBESKI, KAMI LESSORD (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KAMI
Middle Name:LESSORD
Last Name:GOLEMBESKI
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 1:522 VERMONT ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:BONDVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05340-9719
Mailing Address - Country:US
Mailing Address - Phone:802-353-3810
Mailing Address - Fax:
Practice Address - Street 1:522 VERMONT ROUTE 30
Practice Address - Street 2:
Practice Address - City:BONDVILLE
Practice Address - State:VT
Practice Address - Zip Code:05340-9719
Practice Address - Country:US
Practice Address - Phone:802-353-3810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT072.0000271225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation