National Provider Identifier

Laura Mack, COTA

Laura Mack, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Cheektowaga, NY and a listed phone number of (716) 631-0300.

NPI 1396263265Cheektowaga, NYOccupational Therapy Assistant

Profile Overview

NPI
1396263265
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
August 31, 2017
Last Updated
August 31, 2017

Practice Location

  • 1050 Maryvale Dr
  • Cheektowaga, NY 14225-2324

Phone: (716) 631-0300

Mailing Address

  • 184 Claremont Ave
  • Buffalo, NY 14223-2921

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1396263265
Entity Type
Individual
Last Name
Mack
First Name
Laura
Credential
COTA
Mailing Street Address
184 Claremont Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14223-2921
Mailing Country
US
Practice Street Address
1050 Maryvale Dr
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-2324
Practice Country
US
Practice Phone
(716) 631-0300
Enumeration Date
August 31, 2017
Last Updated
August 31, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)