National Provider Identifier
Darlene Ann Matesic, OTR/L
Darlene Ann Matesic, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Lackawanna, NY and a listed phone number of (716) 697-0364.
Profile Overview
- NPI
- 1013164797
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- August 25, 2008
- Last Updated
- May 13, 2011
Practice Location
- 109 Leonard St
- Lackawanna, NY 14218-2032
Phone: (716) 697-0364
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1013164797
- Entity Type
- Individual
- Last Name
- Matesic
- First Name
- Darlene
- Middle Name
- Ann
- Name Prefix
- MS.
- Credential
- OTR/L
- Mailing Street Address
- 109 Leonard St
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-2032
- Mailing Country
- US
- Mailing Phone
- (716) 697-0364
- Practice Street Address
- 109 Leonard St
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-2032
- Practice Country
- US
- Practice Phone
- (716) 697-0364
- Enumeration Date
- August 25, 2008
- Last Updated
- May 13, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)