National Provider Identifier

Mary Claire Tello, OTR

Mary Claire Tello, OTR is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 898-3949.

NPI 1407183296Buffalo, NYOccupational Therapist

Profile Overview

NPI
1407183296
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
November 16, 2009
Last Updated
November 16, 2009

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 898-3949

Mailing Address

  • 149 Peppertree Dr
  • Apt 2
  • Amherst, NY 14228-2923

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1407183296
Entity Type
Individual
Last Name
Tello
First Name
Mary
Middle Name
Claire
Name Prefix
Mrs.
Credential
OTR
Provider Other Last Name
Knapp
Provider Other First Name
Mary
Provider Other Middle Name
Claire
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
OTR
Provider Other Last Name Type Code
1
Mailing Street Address
149 Peppertree Dr
Mailing Address Line 2
Apt 2
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-2923
Mailing Country
US
Mailing Phone
(315) 771-9184
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-3949
Practice Fax
(716) 898-3259
Enumeration Date
November 16, 2009
Last Updated
November 16, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)