National Provider Identifier
Mary Ann Gullo, COTA
Mary Ann Gullo, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Kenmore, NY and a listed phone number of (716) 874-8175.
Profile Overview
- NPI
- 1134492952
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- February 10, 2012
- Last Updated
- February 10, 2012
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-8175
Mailing Address
- 425 Fries RD
- Tonawanda, NY 14150-8341
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1134492952
- Entity Type
- Individual
- Last Name
- Gullo
- First Name
- Mary Ann
- Name Prefix
- MS.
- Credential
- COTA
- Mailing Street Address
- 425 Fries RD
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-8341
- Mailing Country
- US
- Mailing Phone
- (716) 464-3933
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-8175
- Enumeration Date
- February 10, 2012
- Last Updated
- February 10, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)