Roslyn M Bowen, OTR L

Individual provider Active NPI Occupational Therapist · Oakdale, NY

NPI 1609085802 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609085802
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
0044011 (NY)
Practice address
75 Fernwood Ave
Oakdale, NY 11769-2020
Phone
(631) 563-0554
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0044011NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0044011 NY Yes

Addresses

Primary practice location

75 Fernwood Ave
Oakdale, NY 11769-2020

Mailing address

75 Fernwood Ave
Oakdale, NY 11769-2020
Phone (631) 563-0554

Other providers in Oakdale, NY

All providers in Oakdale, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.