Peacock, Mary Lou

Peacock, Mary Lou is an individual health care provider with primary practice located at 462 Grider St , Buffalo NY 14215-3021. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Peacock, Mary Lou can be contacted via phone (716) 898-3949.

Contact Information

Primary practice address
462 Grider St Buffalo NY 14215-3021
Phone: (716) 898-3949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 002010-1 New York

Profile Details

NPI number 1588795512
LBN Legal business name Peacock, Mary Lou
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers