MEDICARE: MONICA LEA MCGUIRE OTR/L, LMT

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	225700000X	Massage Therapist
2	225XP0200X	Pediatric Occupational Therapist	028197	NY
3	225XN1300X	Neurorehabilitation Occupational Therapist	028197	NY

General Provider Information

NPI Number	:	1124367594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA LEA MCGUIRE OTR/L, LMT

Provider Business Mailing Address
First Line	:	137 PAWNEE PKWY
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14210-1843
Country	:	US
Telephone Number	:	716-548-8866
Fax Number	:

Provider Business Practice Location Address
First Line	:	705 MAPLE RD STE 100
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-3291
Country	:	US
Telephone Number	:	716-580-7360
Fax Number	:	716-580-7396

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

Provider Enumeration Date	:	02/05/2013
Last Update Date	:	10/03/2024

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