Provider Demographics
NPI:1124330121
Name:KENT, DARLA JEAN (OTD, MS, OTR/L)
Entity type:Individual
Prefix:DR
First Name:DARLA
Middle Name:JEAN
Last Name:KENT
Suffix:
Gender:F
Credentials:OTD, 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 1:8760 ROUTE 240
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14171-9640
Mailing Address - Country:US
Mailing Address - Phone:716-353-3505
Mailing Address - Fax:
Practice Address - Street 1:7323 BOYCE HILL RD
Practice Address - Street 2:
Practice Address - City:ELLICOTTVILLE
Practice Address - State:NY
Practice Address - Zip Code:14731-9780
Practice Address - Country:US
Practice Address - Phone:716-353-3505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006933-1224Z00000X
NY017498-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant