Provider Demographics
NPI:1992008247
Name:PARTACZ, MARCIA HOWE (OT)
Entity type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:HOWE
Last Name:PARTACZ
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 HARLEM RD
Mailing Address - Street 2:EXCEPTIONAL EDUCATION
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-1825
Mailing Address - Country:US
Mailing Address - Phone:716-821-7246
Mailing Address - Fax:716-821-7218
Practice Address - Street 1:355 HARLEM RD
Practice Address - Street 2:EXCEPTIONAL EDUCATION
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-1825
Practice Address - Country:US
Practice Address - Phone:716-821-7246
Practice Address - Fax:716-821-7218
Is Sole Proprietor?:No
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003153225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00153OtherNYS IDENTIFICATION OCCUPATIONAL THERAPIST