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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE STREETER

Active Sole Proprietor

KYLE STREETER is a Occupational Therapist healthcare provider located in FORT EDWARD, New York. NPI 1790347086 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FORT EDWARD, NY

Registration Details

NPI Number
1790347086
Provider Type
Individual
Gender
Male
NPI Issued
Jul 8, 2019 (7.0668898460566 yrs)
Last Updated
Jul 8, 2019
Sole Proprietor
Yes

Practice Information

Address
319 BROADWAY
FORT EDWARD, NY, 128281221
Browse NY providers · Browse ZIP 12828
Phone
5187472811
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in FORT EDWARD, NY

Name Credential NPI
DAKOTA STORM BLAKE PTA 1417594748
TARYN E ASHE PTA 1972195261
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.