National Provider Identifier
Gloria Candace Mast, COTA
Gloria Candace Mast, COTA is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Buffalo, NY and a listed phone number of (716) 694-6939.
Profile Overview
- NPI
- 1730412685
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- September 10, 2009
- Last Updated
- September 10, 2009
Practice Location
- 2005 Sheridan Dr
- Buffalo, NY 14223-1222
Phone: (716) 694-6939
Mailing Address
- 4036 Crescent Dr
- North Tonawanda, NY 14120-1365
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1730412685
- Entity Type
- Individual
- Last Name
- Mast
- First Name
- Gloria
- Middle Name
- Candace
- Name Prefix
- Mrs.
- Credential
- COTA
- Mailing Street Address
- 4036 Crescent Dr
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-1365
- Mailing Country
- US
- Mailing Phone
- (716) 694-6939
- Practice Street Address
- 2005 Sheridan Dr
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14223-1222
- Practice Country
- US
- Practice Phone
- (716) 694-6939
- Enumeration Date
- September 10, 2009
- Last Updated
- September 10, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)