Provider Demographics
NPI:1326394909
Name:MANN, EMILY KAYLIN (MS OTR/L)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:KAYLIN
Last Name:MANN
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:KAYLIN
Other - Last Name:GALUPPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:515 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760
Mailing Address - Country:US
Mailing Address - Phone:716-375-7481
Mailing Address - Fax:716-375-6410
Practice Address - Street 1:515 MAIN STREET
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760
Practice Address - Country:US
Practice Address - Phone:716-375-7481
Practice Address - Fax:716-375-6410
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017002-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics