National Provider Identifier
Tricia Vandewalle, COTA
Tricia Vandewalle, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Victor, NY and a listed phone number of (585) 924-2707.
Profile Overview
- NPI
- 1164173316
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- January 10, 2022
- Last Updated
- January 26, 2023
Practice Location
- 590 Fishers Station Dr
- Victor, NY 14564-9744
Phone: (585) 924-2707
Mailing Address
- 57 Beverly Hts
- Rochester, NY 14616-4616
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1164173316
- Entity Type
- Individual
- Last Name
- Vandewalle
- First Name
- Tricia
- Credential
- COTA
- Provider Other Last Name
- Van De Walle
- Provider Other First Name
- Tricia
- Provider Other Middle Name
- L
- Provider Other Credential Text
- COTA
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 57 Beverly Hts
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14616-4616
- Mailing Country
- US
- Practice Street Address
- 590 Fishers Station Dr
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-9744
- Practice Country
- US
- Practice Phone
- (585) 924-2707
- Enumeration Date
- January 10, 2022
- Last Updated
- January 26, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 26, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)