Provider Demographics
NPI:1689979676
Name:CATANESE, MEGAN CARNEY (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:CARNEY
Last Name:CATANESE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7333 PADDOCK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-9730
Mailing Address - Country:US
Mailing Address - Phone:716-694-5921
Mailing Address - Fax:
Practice Address - Street 1:4363 MAPLETON RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-9652
Practice Address - Country:US
Practice Address - Phone:716-625-7272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012237-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist