MEDICARE: MRS. PATRICIA A. MIGAJ MS,OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	004842 1	NY

General Provider Information

NPI Number	:	1467751420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA A. MIGAJ MS,OTR/L

Provider Business Mailing Address
First Line	:	4242 RIDGE LEA RD
Second Line	:	SUITE 2
City	:	AMHERST
State	:	NY
Zip	:	14226-1051
Country	:	US
Telephone Number	:	716-819-2405
Fax Number	:

Provider Business Practice Location Address
First Line	:	4242 RIDGE LEA RD
Second Line	:	SUITE 2
City	:	AMHERST
State	:	NY
Zip	:	14226-1051
Country	:	US
Telephone Number	:	716-819-2405
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2011
Last Update Date	:	03/16/2011

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