Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberky Lanza, COTA/L

Individual provider Contractor · NPI 1730497884

Kimberky Lanza, COTA/L is a Contractor in Deer Park, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

1 Brandywine Dr
Deer Park, NY 11729-5721
Phone: (631) 362-0081
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 007357-1 (NY)

Record details

NPI number1730497884
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedSeptember 22, 2010
Last updated in NPPESSeptember 22, 2010

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