Nicole Lynn McQuay, COTA
Individual provider Active NPI Occupational Therapy Assistant · Patton, PA
NPI 1760893010 · NPPES record last updated May 8, 2014
Key facts
- NPI
- 1760893010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OP003608L (PA)
- Practice address
- 289 Glendale Lake Rd
Patton, PA 16668-6806 - Phone
- (814) 262-5443
- NPI assigned
- May 8, 2014
- 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 |
|---|---|---|---|
| OP003608L | PA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OP003608L | PA | Yes |
Addresses
Primary practice location
289 Glendale Lake Rd
Patton, PA 16668-6806
Mailing address
289 Glendale Lake Rd
Patton, PA 16668-6806
Phone (814) 262-5443
Other providers in Patton, PA
- Erin Theresa Lacue
- Jason Richard Larkin
- Richard William Larkin
- Robert L Maher
- Hannah M McGlynn
- Russell Paul Miller
- Patton Area Ambulance Assn.
- Patton Rehabilitation Associates Inc
- Maura Risbon
- Megan Melissa Roberts
All providers in Patton, PA · Occupational Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2014. 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.