National Provider Identifier
Faith Provost Harding, COTA
Faith Provost Harding, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Newark, NY and a listed phone number of (315) 331-7741.
Profile Overview
- NPI
- 1497886600
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- March 08, 2007
- Last Updated
- July 08, 2007
Practice Location
- 150 Van Buren St
- Newark, NY 14513-1238
Phone: (315) 331-7741
Mailing Address
- 5419 Russell RD
- Marion, NY 14505-9357
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1497886600
- Entity Type
- Individual
- Last Name
- Harding
- First Name
- Faith
- Middle Name
- Provost
- Credential
- COTA
- Mailing Street Address
- 5419 Russell RD
- Mailing City
- Marion
- Mailing State
- NY
- Mailing ZIP Code
- 14505-9357
- Mailing Country
- US
- Mailing Phone
- (315) 589-9236
- Practice Street Address
- 150 Van Buren St
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1238
- Practice Country
- US
- Practice Phone
- (315) 331-7741
- Practice Fax
- (315) 331-0566
- Enumeration Date
- March 08, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)