National Provider Identifier
Stephany Michelle Facklam, OTR/L
Stephany Michelle Facklam, 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.
Profile Overview
- NPI
- 1245953082
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- September 26, 2022
- Last Updated
- September 26, 2022
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 6163 Crosby RD
- Lockport, NY 14094-7949
Specialties
- Occupational Therapist (225X00000X)
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1245953082
- Entity Type
- Individual
- Last Name
- Facklam
- First Name
- Stephany
- Middle Name
- Michelle
- Name Prefix
- MS.
- Credential
- OTR/L
- Mailing Street Address
- 6163 Crosby RD
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-7949
- Mailing Country
- US
- 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
- September 26, 2022
- Last Updated
- September 26, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 26, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X), Occupational Therapist (225X00000X)