National Provider Identifier
Mary Angelina Mirabella, MS, OTR/L
Mary Angelina Mirabella, MS, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Ithaca, NY and a listed phone number of (607) 274-2102.
Profile Overview
- NPI
- 1497110613
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- December 16, 2015
- Last Updated
- December 16, 2015
Practice Location
- 400 Lake St
- Ithaca, NY 14850-2132
Phone: (607) 274-2102
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1497110613
- Entity Type
- Individual
- Last Name
- Mirabella
- First Name
- Mary
- Middle Name
- Angelina
- Credential
- MS, OTR/L
- Mailing Street Address
- 400 Lake St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-2132
- Mailing Country
- US
- Mailing Phone
- (607) 274-2102
- Practice Street Address
- 400 Lake St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2132
- Practice Country
- US
- Practice Phone
- (607) 274-2102
- Enumeration Date
- December 16, 2015
- Last Updated
- December 16, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)
- Other Identifiers
- 019910-1 (NY, Occupational Therapy State License)