National Provider Identifier
Nicole E Dougherty, OTR/L
Nicole E Dougherty, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1598148843
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- July 06, 2015
- Last Updated
- March 02, 2021
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 94 Larchmont RD
- Buffalo, NY 14214-1210
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1598148843
- Entity Type
- Individual
- Last Name
- Dougherty
- First Name
- Nicole
- Middle Name
- E
- Credential
- OTR/L
- Mailing Street Address
- 94 Larchmont RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-1210
- Mailing Country
- US
- Mailing Phone
- (716) 289-7001
- 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
- July 06, 2015
- Last Updated
- March 02, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 02, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)