National Provider Identifier

Lisa Davis, COTA

Lisa Davis, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Buffalo, NY and a listed phone number of (716) 836-5929.

NPI 1720488901Buffalo, NYOccupational Therapy Assistant

Profile Overview

NPI
1720488901
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
August 26, 2014
Last Updated
August 26, 2014

Practice Location

  • 2495 Main St Ste 234
  • Buffalo, NY 14214-2152

Phone: (716) 836-5929

Mailing Address

  • 233 Plymouth Ave
  • Buffalo, NY 14213-2509

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1720488901
Entity Type
Individual
Last Name
Davis
First Name
Lisa
Name Prefix
Mrs.
Credential
COTA
Mailing Street Address
233 Plymouth Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-2509
Mailing Country
US
Practice Street Address
2495 Main St Ste 234
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-2152
Practice Country
US
Practice Phone
(716) 836-5929
Enumeration Date
August 26, 2014
Last Updated
August 26, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)