Nancy Blaine, OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · West Harrison, NY
NPI 1124256250 · NPPES record last updated Jun 26, 2009
Key facts
- NPI
- 1124256250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 012794-1 (NY)
- Practice address
- 7 Silver Stream Dr
West Harrison, NY 10604-1514 - Phone
- (914) 831-9461
- NPI assigned
- Jun 26, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012794-1 | NY | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 012794-1 | NY | Yes |
Addresses
Primary practice location
7 Silver Stream Dr
West Harrison, NY 10604-1514
Mailing address
7 Silver Stream Dr
West Harrison, NY 10604-1514
Phone (914) 831-9461
Other providers in West Harrison, NY
- Sandra Joy Alexandrou
- Gabriella N Barile
- David S Battleman
- Joy Lori Bauer
- Michael Brent Bernstein
- Lucy Akosua Boadu
- Stacey Ann Bonagura
- Linda C. Bond
- Kyle Brinkerhoff
- Deidra G Brown
All providers in West Harrison, NY · Pediatric Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.