# INTEGRATED THERAPY OF WNY,OT/PT/SLP,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356639165
- **Authorized official:** MS. MARGUERITE MARY MIKULSKI OTR (DIRECTOR)
- **Authorized official phone:** (585) 343-1840

## Contact information

- **Practice address:** 25 LIBERTY ST STE 5, BATAVIA, NY 14020-3246
- **Practice address phone:** (585) 343-1840
- **Practice address fax:** (585) 343-2185
- **Mailing address:** 25 LIBERTY ST STE 5, BATAVIA, NY 14020-3246
- **Mailing address phone:** (585) 343-1840
- **Mailing address fax:** (585) 343-2185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 002134-1 | NY | Yes |
| 252Y00000X | Early Intervention Provider Agency | 006394-1 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/13/2011
- **Last updated:** 07/13/2011