Individual provider · Type 1 NPI

Olivia Plaza, COTA/L

Specialist · Fredonia, NY

NPI number 1811762255 Active

Practice location

3514 E Main Rd
Fredonia, NY 14063-9721

Call (716) 410-3906 Map

Mailing address

15 Mount Ebo Rd S
Brewster, NY 10509-4092

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X011491 (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 1811762255

Olivia Plaza, COTA/L's National Provider Identifier is 1811762255, issued on Nov 15, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fredonia, NY. The record was last updated on Nov 16, 2023.