Provider Demographics
NPI:1356593057
Name:KUHN, ALICIA N (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:N
Last Name:KUHN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8528 MAIN ST
Mailing Address - Street 2:P.O. BOX 170
Mailing Address - City:HONEOYE
Mailing Address - State:NY
Mailing Address - Zip Code:14471-9637
Mailing Address - Country:US
Mailing Address - Phone:585-229-5171
Mailing Address - Fax:
Practice Address - Street 1:8528 MAIN ST
Practice Address - Street 2:
Practice Address - City:HONEOYE
Practice Address - State:NY
Practice Address - Zip Code:14471-9637
Practice Address - Country:US
Practice Address - Phone:585-229-5171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014765-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY30-0213081OtherTAX ID