National Provider Identifier

Michaele A Martin, OTR

Michaele A Martin, OTR is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 898-3224.

NPI 1720145014Buffalo, NYOccupational Therapist

Profile Overview

NPI
1720145014
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
January 03, 2007
Last Updated
July 08, 2007

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 898-3224

Mailing Address

  • 1645 Olean RD
  • South Wales, NY 14139-9503

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1720145014
Entity Type
Individual
Last Name
Martin
First Name
Michaele
Middle Name
A
Name Prefix
MS.
Credential
OTR
Provider Other Last Name
Lavana
Provider Other First Name
Michaele
Provider Other Middle Name
A
Provider Other Name Prefix Text
Miss
Provider Other Last Name Type Code
1
Mailing Street Address
1645 Olean RD
Mailing City
South Wales
Mailing State
NY
Mailing ZIP Code
14139-9503
Mailing Country
US
Mailing Phone
(716) 655-1656
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-3224
Practice Fax
(716) 898-3259
Enumeration Date
January 03, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)