National Provider Identifier
Mary Susan Trail, OTRL
Mary Susan Trail, OTRL is listed in the NPPES registry with a primary specialty of Occupational Therapist in Bath, NY and a listed phone number of (607) 776-0325.
Profile Overview
- NPI
- 1295810083
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 27, 2006
- Last Updated
- July 08, 2007
Practice Location
- 6838 Industrial Park Road
- Bath, NY 14810
Phone: (607) 776-0325
Mailing Address
- 5027 Ste Rte 36
- Canisteo, NY 14823
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1295810083
- Entity Type
- Individual
- Last Name
- Trail
- First Name
- Mary
- Middle Name
- Susan
- Name Prefix
- Mrs.
- Credential
- OTRL
- Provider Other Last Name
- Allen
- Provider Other First Name
- Mary
- Provider Other Middle Name
- Susan
- Provider Other Name Prefix Text
- MS.
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 5027 Ste Rte 36
- Mailing City
- Canisteo
- Mailing State
- NY
- Mailing ZIP Code
- 14823
- Mailing Country
- US
- Mailing Phone
- (607) 698-2775
- Mailing Fax
- (607) 776-9366
- Practice Street Address
- 6838 Industrial Park Road
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810
- Practice Country
- US
- Practice Phone
- (607) 776-0325
- Practice Fax
- (607) 776-9366
- Enumeration Date
- October 27, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)