Provider Demographics
NPI:1124367594
Name:MCGUIRE, MONICA LEA (OTR/L, LMT)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:LEA
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:OTR/L, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:137 PAWNEE PKWY
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14210-1843
Mailing Address - Country:US
Mailing Address - Phone:716-548-8866
Mailing Address - Fax:
Practice Address - Street 1:705 MAPLE RD STE 100
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3291
Practice Address - Country:US
Practice Address - Phone:716-580-7360
Practice Address - Fax:716-580-7396
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225700000X
NY028197225XP0200X, 225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics