National Provider Identifier
Mary Katherine Digiacomo, MSOT, OTR/L
Mary Katherine Digiacomo, MSOT, 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) 598-1422.
Profile Overview
- NPI
- 1457017410
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- November 15, 2021
- Last Updated
- November 15, 2021
Practice Location
- 110 Roanoke Pkwy Uppr
- Buffalo, NY 14210-1811
Phone: (716) 598-1422
Specialties
- Occupational Therapist (225X00000X)
- Feeding, Eating & Swallowing Occupational Therapist (225XF0002X)
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1457017410
- Entity Type
- Individual
- Last Name
- Digiacomo
- First Name
- Mary
- Middle Name
- Katherine
- Name Prefix
- MS.
- Credential
- MSOT, OTR/L
- Mailing Street Address
- 110 Roanoke Pkwy Uppr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14210-1811
- Mailing Country
- US
- Mailing Phone
- (716) 598-1422
- Practice Street Address
- 110 Roanoke Pkwy Uppr
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-1811
- Practice Country
- US
- Practice Phone
- (716) 598-1422
- Enumeration Date
- November 15, 2021
- Last Updated
- November 15, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 08, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X), Feeding, Eating & Swallowing Occupational Therapist (225XF0002X), Pediatric Occupational Therapist (225XP0200X)