National Provider Identifier
Audrey Rose Dimatteo
Audrey Rose Dimatteo is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Dunkirk, NY and a listed phone number of (716) 366-3631.
Profile Overview
- NPI
- 1922689058
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- April 20, 2021
- Last Updated
- April 20, 2021
Practice Location
- 324 Central Ave
- Dunkirk, NY 14048-2145
Phone: (716) 366-3631
Mailing Address
- 2393 Blackhouse RD
- Warsaw, NY 14569-9589
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Endpoints
- adimatteo@e2ccb.org
Direct Messaging Address | Direct | Csv | Dunkirk, NY 14048
Email
Full Record
- NPI
- 1922689058
- Entity Type
- Individual
- Last Name
- Dimatteo
- First Name
- Audrey
- Middle Name
- Rose
- Mailing Street Address
- 2393 Blackhouse RD
- Mailing City
- Warsaw
- Mailing State
- NY
- Mailing ZIP Code
- 14569-9589
- Mailing Country
- US
- Mailing Phone
- (585) 322-0502
- Practice Street Address
- 324 Central Ave
- Practice City
- Dunkirk
- Practice State
- NY
- Practice ZIP Code
- 14048-2145
- Practice Country
- US
- Practice Phone
- (716) 366-3631
- Enumeration Date
- April 20, 2021
- Last Updated
- April 20, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 20, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)