National Provider Identifier

Samantha Faye Gilmore, COTA

Samantha Faye Gilmore, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Fredonia, NY and a listed phone number of (716) 672-4371.

NPI 1710866751Fredonia, NYOccupational Therapy Assistant

Profile Overview

NPI
1710866751
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
September 02, 2025
Last Updated
September 02, 2025

Practice Location

  • 9520 Fredonia Stockton RD
  • Fredonia, NY 14063-9518

Phone: (716) 672-4371

Mailing Address

  • 6296 Haight RD
  • Mayville, NY 14757-9733

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1710866751
Entity Type
Individual
Last Name
Gilmore
First Name
Samantha
Middle Name
Faye
Credential
COTA
Mailing Street Address
6296 Haight RD
Mailing City
Mayville
Mailing State
NY
Mailing ZIP Code
14757-9733
Mailing Country
US
Mailing Phone
(716) 753-6924
Practice Street Address
9520 Fredonia Stockton RD
Practice City
Fredonia
Practice State
NY
Practice ZIP Code
14063-9518
Practice Country
US
Practice Phone
(716) 672-4371
Enumeration Date
September 02, 2025
Last Updated
September 02, 2025
Sex
Female
Sole Proprietor
No
Certification Date
September 02, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)