National Provider Identifier
Michelle Nicole Graves
Michelle Nicole Graves is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Lyons, NY and a listed phone number of (315) 946-5646.
Profile Overview
- NPI
- 1972888196
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- October 19, 2011
- Last Updated
- October 19, 2011
Practice Location
- 1529 Nye RD
- Lyons, NY 14489-9111
Phone: (315) 946-5646
Mailing Address
- 159 W 1St St
- Oswego, NY 13126-2045
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1972888196
- Entity Type
- Individual
- Last Name
- Graves
- First Name
- Michelle
- Middle Name
- Nicole
- Mailing Street Address
- 159 W 1St St
- Mailing City
- Oswego
- Mailing State
- NY
- Mailing ZIP Code
- 13126-2045
- Mailing Country
- US
- Practice Street Address
- 1529 Nye RD
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-9111
- Practice Country
- US
- Practice Phone
- (315) 946-5646
- Enumeration Date
- October 19, 2011
- Last Updated
- October 19, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)