National Provider Identifier

Carissa Smith, COTA

Carissa Smith, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapist in Cheektowaga, NY and a listed phone number of (716) 892-2060.

NPI 1720863293Cheektowaga, NYOccupational Therapist

Profile Overview

NPI
1720863293
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
August 31, 2023
Last Updated
August 31, 2023

Practice Location

  • 2980 William St Lowr
  • Cheektowaga, NY 14227-1918

Phone: (716) 892-2060

Mailing Address

  • 17 Geary St Lowr
  • Buffalo, NY 14210-2327

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1720863293
Entity Type
Individual
Last Name
Smith
First Name
Carissa
Credential
COTA
Mailing Street Address
17 Geary St Lowr
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14210-2327
Mailing Country
US
Mailing Phone
(716) 536-9994
Practice Street Address
2980 William St Lowr
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14227-1918
Practice Country
US
Practice Phone
(716) 892-2060
Enumeration Date
August 31, 2023
Last Updated
August 31, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
August 31, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)