National Provider Identifier

Melanie Susan Weaver Wakefield, COTA

Melanie Susan Weaver Wakefield, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in East Amherst, NY and a listed phone number of (716) 580-3042.

NPI 1518219088East Amherst, NYOccupational Therapy Assistant

Profile Overview

NPI
1518219088
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
October 09, 2012
Last Updated
October 09, 2012

Practice Location

  • 11390 Transit RD
  • East Amherst, NY 14051-1017

Phone: (716) 580-3042

Mailing Address

  • 3860 Irish RD
  • Wilson, NY 14172-9764

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1518219088
Entity Type
Individual
Last Name
Weaver Wakefield
First Name
Melanie
Middle Name
Susan
Credential
COTA
Mailing Street Address
3860 Irish RD
Mailing City
Wilson
Mailing State
NY
Mailing ZIP Code
14172-9764
Mailing Country
US
Mailing Phone
(716) 778-4676
Practice Street Address
11390 Transit RD
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-1017
Practice Country
US
Practice Phone
(716) 580-3042
Enumeration Date
October 09, 2012
Last Updated
October 09, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)