Provider Demographics
NPI:1255978870
Name:EMERSON, NATALIE FRANCES (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:FRANCES
Last Name:EMERSON
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 MED TECH DR STE 104
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-9712
Mailing Address - Country:US
Mailing Address - Phone:585-201-7080
Mailing Address - Fax:505-201-7087
Practice Address - Street 1:99 MED TECH DR STE 104
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-9712
Practice Address - Country:US
Practice Address - Phone:585-201-7080
Practice Address - Fax:505-201-7087
Is Sole Proprietor?:No
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016623225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist