National Provider Identifier

Marianna Irene McCormack, M.S., O.T.R.

Marianna Irene McCormack, M.S., O.T.R. is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fairport, NY and a listed phone number of (585) 377-4660.

NPI 1891007415Fairport, NYOccupational Therapist

Profile Overview

NPI
1891007415
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
July 12, 2010
Last Updated
July 12, 2010

Practice Location

  • 41 Oconnor RD
  • Fairport, NY 14450-1327

Phone: (585) 377-4660

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1891007415
Entity Type
Individual
Last Name
McCormack
First Name
Marianna
Middle Name
Irene
Name Prefix
MS.
Credential
M.S., O.T.R.
Mailing Street Address
41 Oconnor RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1327
Mailing Country
US
Practice Street Address
41 Oconnor RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1327
Practice Country
US
Practice Phone
(585) 377-4660
Enumeration Date
July 12, 2010
Last Updated
July 12, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)