Provider Demographics
NPI:1235903006
Name:FLOWER CITY OCCUPATIONAL THERAPY, PLLC
Entity Type:Organization
Organization Name:FLOWER CITY OCCUPATIONAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ATWATER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:585-322-5999
Mailing Address - Street 1:112 PLANTERS ROW
Mailing Address - Street 2:
Mailing Address - City:WEST HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14586-8922
Mailing Address - Country:US
Mailing Address - Phone:585-322-5999
Mailing Address - Fax:585-601-6627
Practice Address - Street 1:112 PLANTERS ROW
Practice Address - Street 2:
Practice Address - City:WEST HENRIETTA
Practice Address - State:NY
Practice Address - Zip Code:14586-8922
Practice Address - Country:US
Practice Address - Phone:585-322-5999
Practice Address - Fax:585-601-6627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY017839OtherNYS OCCUPATIONAL THERAPY LICENSE