Wendy Sue Candeloro, C.O.T.A.
Individual provider Active NPI Occupational Therapy Assistant · Sauquoit, NY
NPI 1639465859 · NPPES record last updated Jun 27, 2011
Key facts
- NPI
- 1639465859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 002789-1 (NY)
- Practice address
- 2601 Oneida St
Sauquoit, NY 13456-3225 - Phone
- (315) 839-6331
- NPI assigned
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002789-1 | NY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 002789-1 | NY | Yes |
Addresses
Primary practice location
2601 Oneida St
Sauquoit, NY 13456-3225
Mailing address
352 Genesee St
Oneida, NY 13421-2612
Phone (315) 796-6429
Other providers in Sauquoit, NY
- Christina Maria Ballard
- Susan Borchardt
- Michele Lynn Brennan-Vuocolo
- Cheryl Bunn
- Chad Joseph Cardillo
- Chad Joseph Cardillo
- Raelynn Christman
- Samantha Marie Critelli
- Edith M Depeyster
All providers in Sauquoit, NY · Occupational Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.