National Provider Identifier
Olivia Vandyke, OTD, OTR/L
Olivia Vandyke, OTD, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1750166369
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- August 30, 2023
- Last Updated
- August 30, 2023
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 1105 Delaware Ave Apt 5
- Buffalo, NY 14209-1679
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1750166369
- Entity Type
- Individual
- Last Name
- Vandyke
- First Name
- Olivia
- Credential
- OTD, OTR/L
- Mailing Street Address
- 1105 Delaware Ave Apt 5
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-1679
- Mailing Country
- US
- Mailing Phone
- (412) 995-8733
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- August 30, 2023
- Last Updated
- August 30, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 29, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)