National Provider Identifier

Samantha Marie Hockwater, COTA

Samantha Marie Hockwater, COTA is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1992535090Kenmore, NYPediatric Occupational Therapist

Profile Overview

NPI
1992535090
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
August 03, 2024
Last Updated
August 30, 2024

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Mailing Address

  • 45 George St
  • Depew, NY 14043-1006

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1992535090
Entity Type
Individual
Last Name
Hockwater
First Name
Samantha
Middle Name
Marie
Credential
COTA
Mailing Street Address
45 George St
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-1006
Mailing Country
US
Mailing Phone
(716) 225-9647
Practice Street Address
3767 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
August 03, 2024
Last Updated
August 30, 2024
Sex
Female
Sole Proprietor
No
Certification Date
August 30, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X), Pediatric Occupational Therapist (225XP0200X)