National Provider Identifier
Mark Antonio Davila, COTA/L
Mark Antonio Davila, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Buffalo, NY and a listed phone number of (800) 543-9399.
Profile Overview
- NPI
- 1942724208
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- July 28, 2017
- Last Updated
- July 28, 2017
Practice Location
- 95 John Muir Dr
- Buffalo, NY 14228-1144
Phone: (800) 543-9399
Mailing Address
- 263 Crandon Blvd Lowr
- Cheektowaga, NY 14225-3735
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1942724208
- Entity Type
- Individual
- Last Name
- Davila
- First Name
- Mark
- Middle Name
- Antonio
- Credential
- COTA/L
- Mailing Street Address
- 263 Crandon Blvd Lowr
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-3735
- Mailing Country
- US
- Practice Street Address
- 95 John Muir Dr
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14228-1144
- Practice Country
- US
- Practice Phone
- (800) 543-9399
- Enumeration Date
- July 28, 2017
- Last Updated
- July 28, 2017
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)