National Provider Identifier

Makenzie Muoio, OTD, OTRL

Makenzie Muoio, OTD, OTRL is listed in the NPPES registry with a primary specialty of Occupational Therapist in Brockport, NY and a listed phone number of (585) 637-3140.

NPI 1063302636Brockport, NYOccupational Therapist

Profile Overview

NPI
1063302636
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
July 07, 2025
Last Updated
July 15, 2025

Practice Location

  • 90 West Ave
  • Brockport, NY 14420-1306

Phone: (585) 637-3140

Mailing Address

  • 6097 Sautell RD
  • Bergen, NY 14416-9506

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1063302636
Entity Type
Individual
Last Name
Muoio
First Name
Makenzie
Credential
OTD, OTRL
Mailing Street Address
6097 Sautell RD
Mailing City
Bergen
Mailing State
NY
Mailing ZIP Code
14416-9506
Mailing Country
US
Practice Street Address
90 West Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1306
Practice Country
US
Practice Phone
(585) 637-3140
Enumeration Date
July 07, 2025
Last Updated
July 15, 2025
Sex
Female
Sole Proprietor
No
Certification Date
July 15, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)