Individual
MICHELE BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
401 WAYNE ST, OLEAN, NY 14760-2454
(716) 375-8010
Mailing address
20 MAPLE AVE, PORTVILLE, NY 14770-9797
(716) 397-8017
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011660
NY
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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