National Provider Identifier
Laura Mackenzie Livengood, COTA
Laura Mackenzie Livengood, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Brocton, NY and a listed phone number of (716) 792-2100.
Profile Overview
- NPI
- 1245909464
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- September 10, 2021
- Last Updated
- September 10, 2021
Practice Location
- 138 W Main St
- Brocton, NY 14716-9749
Phone: (716) 792-2100
Mailing Address
- 185 Clyde Ave
- Jamestown, NY 14701-1767
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1245909464
- Entity Type
- Individual
- Last Name
- Livengood
- First Name
- Laura
- Middle Name
- Mackenzie
- Credential
- COTA
- Mailing Street Address
- 185 Clyde Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-1767
- Mailing Country
- US
- Mailing Phone
- (716) 720-1573
- Practice Street Address
- 138 W Main St
- Practice City
- Brocton
- Practice State
- NY
- Practice ZIP Code
- 14716-9749
- Practice Country
- US
- Practice Phone
- (716) 792-2100
- Enumeration Date
- September 10, 2021
- Last Updated
- September 10, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 10, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)