National Provider Identifier

Eileen Madonna Stayzer, C.O.T.A.

Eileen Madonna Stayzer, C.O.T.A. is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Eden, NY and a listed phone number of (716) 992-2409.

NPI 1013298561Eden, NYOccupational Therapy Assistant

Profile Overview

NPI
1013298561
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
August 29, 2011
Last Updated
September 26, 2011

Practice Location

  • 8337 Merrill Pl
  • Eden, NY 14057-1130

Phone: (716) 992-2409

Mailing Address

  • 8337 Merrill Pl
  • Eden, NY 14057

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1013298561
Entity Type
Individual
Last Name
Stayzer
First Name
Eileen
Middle Name
Madonna
Name Prefix
Mrs.
Credential
C.O.T.A.
Mailing Street Address
8337 Merrill Pl
Mailing City
Eden
Mailing State
NY
Mailing ZIP Code
14057
Mailing Country
US
Mailing Phone
(716) 992-2409
Practice Street Address
8337 Merrill Pl
Practice City
Eden
Practice State
NY
Practice ZIP Code
14057-1130
Practice Country
US
Practice Phone
(716) 992-2409
Enumeration Date
August 29, 2011
Last Updated
September 26, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)