Provider Demographics
NPI:1255631701
Name:LAMIRAND, WENDY (OTR/L)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:LAMIRAND
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 GWINN ST
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:NY
Mailing Address - Zip Code:14103-1719
Mailing Address - Country:US
Mailing Address - Phone:585-798-2350
Mailing Address - Fax:
Practice Address - Street 1:1 MUSTANG DR
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:NY
Practice Address - Zip Code:14103-1856
Practice Address - Country:US
Practice Address - Phone:585-798-2350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009794-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist