National Provider Identifier
Melanie Lauren Disturco, COTA/L
Melanie Lauren Disturco, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Orchard Park, NY and a listed phone number of (716) 667-9377.
Profile Overview
- NPI
- 1962920173
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- September 07, 2017
- Last Updated
- September 07, 2017
Practice Location
- 6445 W Quaker St
- Orchard Park, NY 14127-2354
Phone: (716) 667-9377
Mailing Address
- 45 Asbury Pl
- Depew, NY 14043-1611
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1962920173
- Entity Type
- Individual
- Last Name
- Disturco
- First Name
- Melanie
- Middle Name
- Lauren
- Credential
- COTA/L
- Mailing Street Address
- 45 Asbury Pl
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-1611
- Mailing Country
- US
- Practice Street Address
- 6445 W Quaker St
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2354
- Practice Country
- US
- Practice Phone
- (716) 667-9377
- Enumeration Date
- September 07, 2017
- Last Updated
- September 07, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)