National Provider Identifier

Susan Lynne Booth

Susan Lynne Booth is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Lockport, NY and a listed phone number of (716) 625-4002.

NPI 1225360381Lockport, NYOccupational Therapy Assistant

Profile Overview

NPI
1225360381
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
January 31, 2010
Last Updated
January 31, 2010

Practice Location

  • 5677 S Transit RD
  • Suite # 318
  • Lockport, NY 14094-5842

Phone: (716) 625-4002

Mailing Address

  • 404 Homestead Dr
  • North Tonawanda, NY 14120-1649

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1225360381
Entity Type
Individual
Last Name
Booth
First Name
Susan
Middle Name
Lynne
Name Prefix
Mrs.
Mailing Street Address
404 Homestead Dr
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-1649
Mailing Country
US
Mailing Phone
(716) 693-2408
Practice Street Address
5677 S Transit RD
Practice Address Line 2
Suite # 318
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-5842
Practice Country
US
Practice Phone
(716) 625-4002
Enumeration Date
January 31, 2010
Last Updated
January 31, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)