National Provider Identifier

Tara Marie Smith, COTA

Tara Marie Smith, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Dunkirk, NY and a listed phone number of (716) 366-3417.

NPI 1619118122Dunkirk, NYOccupational Therapy Assistant

Profile Overview

NPI
1619118122
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
March 12, 2009
Last Updated
March 12, 2009

Practice Location

  • 423 Main St
  • Dunkirk, NY 14048-2720

Phone: (716) 366-3417

Mailing Address

  • 10034 Sawmill Run Road
  • Little Valley, NY 14756

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1619118122
Entity Type
Individual
Last Name
Smith
First Name
Tara
Middle Name
Marie
Credential
COTA
Provider Other Last Name
Huntington
Provider Other First Name
Tara
Provider Other Middle Name
Marie
Provider Other Credential Text
COTA
Provider Other Last Name Type Code
1
Mailing Street Address
10034 Sawmill Run Road
Mailing City
Little Valley
Mailing State
NY
Mailing ZIP Code
14756
Mailing Country
US
Mailing Phone
(716) 338-3791
Practice Street Address
423 Main St
Practice City
Dunkirk
Practice State
NY
Practice ZIP Code
14048-2720
Practice Country
US
Practice Phone
(716) 366-3417
Practice Fax
(716) 366-3568
Enumeration Date
March 12, 2009
Last Updated
March 12, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)