National Provider Identifier
Mariah Gabrielle Corning, MSOTR/L
Mariah Gabrielle Corning, MSOTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Ithaca, NY and a listed phone number of (607) 247-2209.
Profile Overview
- NPI
- 1831606243
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- January 08, 2018
- Last Updated
- September 03, 2020
Practice Location
- 302 W Buffalo St.
- Ithaca, NY 14850
Phone: (607) 247-2209
Mailing Address
- 7740 Rock River RD
- Interlaken, NY 14847
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1831606243
- Entity Type
- Individual
- Last Name
- Corning
- First Name
- Mariah
- Middle Name
- Gabrielle
- Name Prefix
- Mrs.
- Credential
- MSOTR/L
- Provider Other Last Name
- Bowers
- Provider Other First Name
- Mariah
- Provider Other Middle Name
- Gabrielle
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 7740 Rock River RD
- Mailing City
- Interlaken
- Mailing State
- NY
- Mailing ZIP Code
- 14847
- Mailing Country
- US
- Mailing Phone
- (607) 279-7319
- Practice Street Address
- 302 W Buffalo St.
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 247-2209
- Practice Fax
- (607) 758-5271
- Enumeration Date
- January 08, 2018
- Last Updated
- September 03, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 03, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)