National Provider Identifier

Madalyn Brooke Ranallo, COTA

Madalyn Brooke Ranallo, 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) 580-3040.

NPI 1669022430East Amherst, NYOccupational Therapy Assistant

Profile Overview

NPI
1669022430
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
September 13, 2019
Last Updated
April 26, 2022

Practice Location

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

Phone: (716) 580-3040

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1669022430
Entity Type
Individual
Last Name
Ranallo
First Name
Madalyn
Middle Name
Brooke
Credential
COTA
Mailing Street Address
11390 Transit RD
Mailing City
East Amherst
Mailing State
NY
Mailing ZIP Code
14051-1017
Mailing Country
US
Mailing Phone
(951) 264-3322
Practice Street Address
11390 Transit RD
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-1017
Practice Country
US
Practice Phone
(716) 580-3040
Practice Fax
(716) 580-3042
Enumeration Date
September 13, 2019
Last Updated
April 26, 2022
Sex
Female
Sole Proprietor
No
Certification Date
April 01, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)