National Provider Identifier
Lisa Marie Anderson, COTA/L
Lisa Marie Anderson, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Clarence, NY and a listed phone number of (716) 348-6294.
Profile Overview
- NPI
- 1346889706
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- January 03, 2020
- Last Updated
- January 03, 2020
Practice Location
- 5269 Green Valley Dr
- Clarence, NY 14031-1231
Phone: (716) 348-6294
Specialties
- Occupational Therapy Assistant (224Z00000X)
Endpoints
- 010249
Connect Url | Direct | Csv | Clarence, NY 14031
Full Record
- NPI
- 1346889706
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Lisa
- Middle Name
- Marie
- Credential
- COTA/L
- Mailing Street Address
- 5269 Green Valley Dr
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-1231
- Mailing Country
- US
- Mailing Phone
- (716) 348-6294
- Practice Street Address
- 5269 Green Valley Dr
- Practice City
- Clarence
- Practice State
- NY
- Practice ZIP Code
- 14031-1231
- Practice Country
- US
- Practice Phone
- (716) 348-6294
- Enumeration Date
- January 03, 2020
- Last Updated
- January 03, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 03, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)
- Other Identifiers
- 010249 (NY)