National Provider Identifier
Lara Bridges
Lara Bridges 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
- 1497589170
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- August 27, 2024
- Last Updated
- August 27, 2024
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 264 Union St Apt A
- Hamburg, NY 14075-4758
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1497589170
- Entity Type
- Individual
- Last Name
- Bridges
- First Name
- Lara
- Mailing Street Address
- 264 Union St Apt A
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-4758
- Mailing Country
- US
- Mailing Phone
- (716) 432-8366
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- August 27, 2024
- Last Updated
- August 27, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 22, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)