National Provider Identifier

Carla L Gudorf, OTR

Carla L Gudorf, OTR is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 836-5929.

NPI 1245655372Buffalo, NYOccupational Therapist

Profile Overview

NPI
1245655372
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
February 26, 2014
Last Updated
August 20, 2015

Practice Location

  • 2495 Main St
  • #234
  • Buffalo, NY 14214-2152

Phone: (716) 836-5929

Specialties

  • Occupational Therapist (225X00000X)
  • Occupational Therapist (225X00000X)
  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1245655372
Entity Type
Individual
Last Name
Gudorf
First Name
Carla
Middle Name
L
Name Prefix
Mrs.
Credential
OTR
Mailing Street Address
2495 Main St
Mailing Address Line 2
#234
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-2152
Mailing Country
US
Mailing Phone
(716) 836-5929
Mailing Fax
(716) 836-6057
Practice Street Address
2495 Main St
Practice Address Line 2
#234
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-2152
Practice Country
US
Practice Phone
(716) 836-5929
Practice Fax
(716) 836-6057
Enumeration Date
February 26, 2014
Last Updated
August 20, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Occupational Therapist (225X00000X), Pediatric Occupational Therapist (225XP0200X)