Healthcare Provider Details

I. General information

NPI: 1467430843
Provider Name (Legal Business Name): OCCUPATIONAL THERAPY AND HAND REHABILITATION SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 03/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421-423 MAIN STREET
DUNKIRK NY
14048-2720
US

IV. Provider business mailing address

421-423 MAIN STREET
DUNKIRK NY
14048-2720
US

V. Phone/Fax

Practice location:
  • Phone: 716-366-3417
  • Fax: 716-366-3568
Mailing address:
  • Phone: 716-366-3417
  • Fax: 716-366-3568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. AUDREY J. BUCK
Title or Position: PRES/OWNER
Credential: OTD, OTR/L, CHT
Phone: 716-366-3417