National Provider Identifier
Leo Malone, OTA
Leo Malone, OTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Buffalo, NY and a listed phone number of (716) 816-2992.
Profile Overview
- NPI
- 1134956972
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- September 16, 2024
- Last Updated
- September 16, 2024
Practice Location
- 400 Forest Ave
- Buffalo, NY 14213-1207
Phone: (716) 816-2992
Mailing Address
- 1303 Sherwood Ave
- North Tonawanda, NY 14120-3520
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1134956972
- Entity Type
- Individual
- Last Name
- Malone
- First Name
- Leo
- Name Prefix
- Mr.
- Credential
- OTA
- Mailing Street Address
- 1303 Sherwood Ave
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-3520
- Mailing Country
- US
- Mailing Phone
- (716) 816-2992
- Practice Street Address
- 400 Forest Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1207
- Practice Country
- US
- Practice Phone
- (716) 816-2992
- Enumeration Date
- September 16, 2024
- Last Updated
- September 16, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)