National Provider Identifier

Ruth Evelyn Manta, OTR/L

Ruth Evelyn Manta, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Sanborn, NY and a listed phone number of (716) 998-3429.

NPI 1063395085Sanborn, NYOccupational Therapist

Profile Overview

NPI
1063395085
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
July 28, 2025
Last Updated
July 28, 2025

Practice Location

  • 5825 Baer RD
  • Sanborn, NY 14132-9230

Phone: (716) 998-3429

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1063395085
Entity Type
Individual
Last Name
Manta
First Name
Ruth
Middle Name
Evelyn
Credential
OTR/L
Mailing Street Address
5825 Baer RD
Mailing City
Sanborn
Mailing State
NY
Mailing ZIP Code
14132-9230
Mailing Country
US
Mailing Phone
(716) 998-3429
Practice Street Address
5825 Baer RD
Practice City
Sanborn
Practice State
NY
Practice ZIP Code
14132-9230
Practice Country
US
Practice Phone
(716) 998-3429
Enumeration Date
July 28, 2025
Last Updated
July 28, 2025
Sex
Female
Sole Proprietor
No
Certification Date
July 28, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)