Provider Demographics
NPI:1548508567
Name:SINKIEWICZ, KATHLEEN CECELIA (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:CECELIA
Last Name:SINKIEWICZ
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 1:7263 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OVID
Mailing Address - State:NY
Mailing Address - Zip Code:14521-9586
Mailing Address - Country:US
Mailing Address - Phone:607-869-9636
Mailing Address - Fax:
Practice Address - Street 1:8326 MAIN ST
Practice Address - Street 2:
Practice Address - City:INTERLAKEN
Practice Address - State:NY
Practice Address - Zip Code:14847-9789
Practice Address - Country:US
Practice Address - Phone:607-869-9636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010838-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist