National Provider Identifier
Nicole Anne Perrotta, COTA
Nicole Anne Perrotta, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1467742692
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- April 08, 2011
- Last Updated
- September 19, 2018
Practice Location
- 3767 Delaware Avenue
- Kenmore, NY 14217
Phone: (716) 874-6175
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1467742692
- Entity Type
- Individual
- Last Name
- Perrotta
- First Name
- Nicole
- Middle Name
- Anne
- Name Prefix
- Mrs.
- Credential
- COTA
- Provider Other Last Name
- Takantzas
- Provider Other First Name
- Nicole
- Provider Other Middle Name
- Anne
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3767 Delaware Avenue
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217
- Mailing Country
- US
- Mailing Phone
- (716) 874-6175
- Mailing Fax
- (716) 836-6057
- Practice Street Address
- 3767 Delaware Avenue
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Practice Fax
- (716) 836-6057
- Enumeration Date
- April 08, 2011
- Last Updated
- September 19, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)