Individual provider · Type 1 NPI

Kristen Canfield Bacon, OTD, MS, OTR/L

Occupational Therapist · Elmira, NY

NPI number 1174917561 Active

Practice location

600 Roe Ave
Elmira, NY 14901

Mailing address

3494 County Road 28
Watkins Glen, NY 14891-9748

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X015180-1 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1174917561

Kristen Canfield Bacon, OTD, MS, OTR/L's National Provider Identifier is 1174917561, issued on Mar 24, 2015. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Elmira, NY. The record was last updated on Mar 24, 2015.