National Provider Identifier

Emily Clark, OTR/L

Emily Clark, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1194276816Kenmore, NYOccupational Therapist

Profile Overview

NPI
1194276816
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
October 18, 2016
Last Updated
October 18, 2016

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Mailing Address

  • 77 Admiral RD
  • Buffalo, NY 14216-2509

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1194276816
Entity Type
Individual
Last Name
Clark
First Name
Emily
Credential
OTR/L
Mailing Street Address
77 Admiral RD
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-2509
Mailing Country
US
Mailing Phone
(315) 404-4571
Practice Street Address
3767 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
October 18, 2016
Last Updated
October 18, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)