Individual provider · Type 1 NPI

Mary Carolyn Divita, OTR

Specialist · West Seneca, NY

NPI number 1316220486 Active

Practice location

355 Harlem Rd
West Seneca, NY 14224-1825

Mailing address

103 Andover Ln
Williamsville, NY 14221-3365

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0037741 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1316220486

Mary Carolyn Divita, OTR's National Provider Identifier is 1316220486, issued on Sep 24, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Seneca, NY. The record was last updated on Sep 24, 2011.