National Provider Identifier
Heather Fawn Fiacco, C.O.T.A
Heather Fawn Fiacco, C.O.T.A is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Lewiston, NY and a listed phone number of (716) 298-2253.
Profile Overview
- NPI
- 1568617009
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- November 25, 2008
- Last Updated
- November 25, 2008
Practice Location
- 5300 Military RD
- Mt. St. Mary'S Hospital Room 526
- Lewiston, NY 14092-1903
Phone: (716) 298-2253
Mailing Address
- 5300 Military RD
- Lewiston, NY 14092-1903
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1568617009
- Entity Type
- Individual
- Last Name
- Fiacco
- First Name
- Heather
- Middle Name
- Fawn
- Name Prefix
- Mrs.
- Credential
- C.O.T.A
- Mailing Street Address
- 5300 Military RD
- Mailing City
- Lewiston
- Mailing State
- NY
- Mailing ZIP Code
- 14092-1903
- Mailing Country
- US
- Mailing Phone
- (716) 298-2253
- Mailing Fax
- (716) 298-2471
- Practice Street Address
- 5300 Military RD
- Practice Address Line 2
- Mt. St. Mary'S Hospital Room 526
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1903
- Practice Country
- US
- Practice Phone
- (716) 298-2253
- Practice Fax
- (716) 298-2471
- Enumeration Date
- November 25, 2008
- Last Updated
- November 25, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)