Basic Information
Provider Information
NPI: 1659508034
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROWLEY
FirstName: LINDA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MS/BS OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MORGAN
OtherFirstName: LINDA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MS/BS OTR/L
OtherLastNameType: 1
Mailing Information
Address1: 5570 MAIN ST STE 2
Address2:  
City: WILLIAMSVILLE
State: NY
PostalCode: 142215477
CountryCode: US
TelephoneNumber: 7162504137
FaxNumber: 8883170495
Practice Location
Address1: 1485 INTERNATIONAL PKWY
Address2:  
City: HEATHROW
State: FL
PostalCode: 327465303
CountryCode: US
TelephoneNumber: 8007986035
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/12/2009
LastUpdateDate: 04/26/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X006241NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


Home