Tina Marie Gregory, MS OTR/L

Individual provider Active NPI Occupational Therapist · Friendship, NY

NPI 1033765433 · NPPES record last updated Sep 30, 2021

Key facts

NPI
1033765433
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
023772 (NY)
Practice address
8620 County Road 1
Friendship, NY 14739-8806
Phone
(585) 307-1880
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 023772 NY Yes

Addresses

Primary practice location

8620 County Road 1
Friendship, NY 14739-8806

Mailing address

8620 County Road 1
Friendship, NY 14739-8806
Phone (585) 307-1880

Other providers in Friendship, NY

All providers in Friendship, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.