National Provider Identifier

Mary Joy Bassanello, C.O.T.A.

Mary Joy Bassanello, C.O.T.A. is listed in the NPPES registry with a primary specialty of Occupational Therapist in Clarence, NY and a listed phone number of (716) 983-7649.

NPI 1881938645Clarence, NYOccupational Therapist

Profile Overview

NPI
1881938645
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
November 19, 2012
Last Updated
November 19, 2012

Practice Location

  • 9233 Main St # 51
  • Clarence, NY 14031-1920

Phone: (716) 983-7649

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1881938645
Entity Type
Individual
Last Name
Bassanello
First Name
Mary
Middle Name
Joy
Name Prefix
MS.
Credential
C.O.T.A.
Mailing Street Address
9233 Main St # 51
Mailing City
Clarence
Mailing State
NY
Mailing ZIP Code
14031-1920
Mailing Country
US
Mailing Phone
(716) 983-7649
Practice Street Address
9233 Main St # 51
Practice City
Clarence
Practice State
NY
Practice ZIP Code
14031-1920
Practice Country
US
Practice Phone
(716) 983-7649
Enumeration Date
November 19, 2012
Last Updated
November 19, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)
Other Identifiers
225X00000X (NY, Sole Provider)