National Provider Identifier
Olivia Plaza, COTA/L
Olivia Plaza, COTA/L is listed in the NPPES registry with a primary specialty of Specialist in Fredonia, NY and a listed phone number of (716) 410-3906.
Profile Overview
- NPI
- 1811762255
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- November 15, 2023
- Last Updated
- November 16, 2023
Practice Location
- 3514 E Main RD
- Fredonia, NY 14063-9721
Phone: (716) 410-3906
Mailing Address
- 15 Mount Ebo RD S
- Brewster, NY 10509-4092
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1811762255
- Entity Type
- Individual
- Last Name
- Plaza
- First Name
- Olivia
- Name Prefix
- Miss
- Credential
- COTA/L
- Mailing Street Address
- 15 Mount Ebo RD S
- Mailing City
- Brewster
- Mailing State
- NY
- Mailing ZIP Code
- 10509-4092
- Mailing Country
- US
- Mailing Phone
- (845) 940-1810
- Practice Street Address
- 3514 E Main RD
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-9721
- Practice Country
- US
- Practice Phone
- (716) 410-3906
- Enumeration Date
- November 15, 2023
- Last Updated
- November 16, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 16, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)