Provider Demographics
NPI:1811132640
Name:LOSITO, MARY E (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:E
Last Name:LOSITO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6057 MARIGOLD LN
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:NY
Mailing Address - Zip Code:13039-9363
Mailing Address - Country:US
Mailing Address - Phone:315-452-1952
Mailing Address - Fax:
Practice Address - Street 1:6057 MARIGOLD LN
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-9363
Practice Address - Country:US
Practice Address - Phone:315-452-1952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002285-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist