National Provider Identifier
Bethany Modica
Bethany Modica is listed in the NPPES registry with a primary specialty of Occupational Therapist in North Tonawanda, NY and a listed phone number of (716) 909-7087.
Profile Overview
- NPI
- 1508520214
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 28, 2021
- Last Updated
- October 28, 2021
Practice Location
- 374 North Ave
- North Tonawanda, NY 14120-1722
Phone: (716) 909-7087
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1508520214
- Entity Type
- Individual
- Last Name
- Modica
- First Name
- Bethany
- Mailing Street Address
- 374 North Ave
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-1722
- Mailing Country
- US
- Practice Street Address
- 374 North Ave
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-1722
- Practice Country
- US
- Practice Phone
- (716) 909-7087
- Enumeration Date
- October 28, 2021
- Last Updated
- October 28, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 28, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)