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

Miss. Carly Rae Fredette

Individual provider Occupational Therapist · NPI 1255612115

Miss. Carly Rae Fredette is an Occupational Therapist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

997 Stafford Ave
Staten Island, NY 10309-2109
Phone: (917) 744-3976
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 63 016863 (NY)

Record details

NPI number1255612115
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2011
Last updated in NPPESSeptember 6, 2011

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