Healthcare Provider Details

I. General information

NPI: 1326394909
Provider Name (Legal Business Name): EMILY KAYLIN MANN MS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY KAYLIN GALUPPO MS OTR/L

II. Dates (important events)

Enumeration Date: 08/01/2012
Last Update Date: 01/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MAIN STREET
OLEAN NY
14760
US

IV. Provider business mailing address

515 MAIN STREET
OLEAN NY
14760
US

V. Phone/Fax

Practice location:
  • Phone: 716-375-7481
  • Fax: 716-375-6410
Mailing address:
  • Phone: 716-375-7481
  • Fax: 716-375-6410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number017002-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: