National Provider Identifier
Mary Martha Decirce, OT
Mary Martha Decirce, OT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Cheektowaga, NY and a listed phone number of (716) 505-5700.
Profile Overview
- NPI
- 1609171867
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- January 20, 2011
- Last Updated
- January 20, 2011
Practice Location
- 4635 Union RD
- Cheektowaga, NY 14225-1851
Phone: (716) 505-5700
Mailing Address
- 8788 Fairbrook Ct
- East Amherst, NY 14051-2082
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1609171867
- Entity Type
- Individual
- Last Name
- Decirce
- First Name
- Mary
- Middle Name
- Martha
- Credential
- OT
- Mailing Street Address
- 8788 Fairbrook Ct
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-2082
- Mailing Country
- US
- Mailing Phone
- (716) 406-2007
- Practice Street Address
- 4635 Union RD
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-1851
- Practice Country
- US
- Practice Phone
- (716) 505-5700
- Enumeration Date
- January 20, 2011
- Last Updated
- January 20, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)