National Provider Identifier
Colleen Marie Leary, OCCUPATIONAL THERAPI
Colleen Marie Leary, OCCUPATIONAL THERAPI is listed in the NPPES registry with a primary specialty of Home Health Agency in Buffalo, NY and a listed phone number of (716) 871-9883.
Profile Overview
- NPI
- 1811058902
- Provider Type
- Individual
- Primary Specialty
- Home Health Agency
- Enumeration Date
- December 12, 2006
- Last Updated
- July 08, 2007
Practice Location
- 67 Dundee St
- Buffalo, NY 14220-2409
Phone: (716) 871-9883
Specialties
- Home Health Agency (251E00000X)
Full Record
- NPI
- 1811058902
- Entity Type
- Individual
- Last Name
- Leary
- First Name
- Colleen
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- OCCUPATIONAL THERAPI
- Provider Other Last Name
- Leary
- Provider Other First Name
- Colleen
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- OTR
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 67 Dundee St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14220-2409
- Mailing Country
- US
- Mailing Phone
- (716) 871-9883
- Mailing Fax
- (716) 871-9887
- Practice Street Address
- 67 Dundee St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14220-2409
- Practice Country
- US
- Practice Phone
- (716) 871-9883
- Practice Fax
- (716) 871-9887
- Enumeration Date
- December 12, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Home Health Agency (251E00000X)