Provider Demographics
NPI:1225525850
Name:MACIEJEWSKI, BRITTANY (COTA/L)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:MACIEJEWSKI
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12014 BUCKWHEAT RD
Mailing Address - Street 2:
Mailing Address - City:ALDEN
Mailing Address - State:NY
Mailing Address - Zip Code:14004-8535
Mailing Address - Country:US
Mailing Address - Phone:716-536-3670
Mailing Address - Fax:
Practice Address - Street 1:95 JOHN MUIR DR STE 100
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1144
Practice Address - Country:US
Practice Address - Phone:716-800-2328
Practice Address - Fax:888-317-0495
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant