National Provider Identifier
Mary A. O'Sullivan, MS, OTR/L
Mary A. O'Sullivan, MS, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 816-4174.
Profile Overview
- NPI
- 1306037130
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- August 07, 2007
- Last Updated
- August 02, 2024
Practice Location
- 646 E. Delavan
- Room 127
- Buffalo, NY 14215
Phone: (716) 816-4174
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1306037130
- Entity Type
- Individual
- Last Name
- O'Sullivan
- First Name
- Mary
- Middle Name
- A.
- Name Prefix
- Mrs.
- Credential
- MS, OTR/L
- Provider Other Last Name
- Tomasello
- Provider Other First Name
- Mary
- Provider Other Middle Name
- A.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 646 E. Delavan
- Mailing Address Line 2
- Room 127
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215
- Mailing Country
- US
- Mailing Phone
- (716) 816-4174
- Mailing Fax
- (941) 359-1555
- Practice Street Address
- 646 E. Delavan
- Practice Address Line 2
- Room 127
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215
- Practice Country
- US
- Practice Phone
- (716) 816-4174
- Practice Fax
- (941) 359-1555
- Enumeration Date
- August 07, 2007
- Last Updated
- August 02, 2024
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)
- Other Identifiers
- 000385100 (FL), 892350700 (FL)