Diane L. Desmond, M.S., OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Schuylerville, NY

NPI 1770836835 · NPPES record last updated Oct 25, 2012

Key facts

NPI
1770836835
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
010034-1 (NY)
Practice address
274 Hayes Rd
Schuylerville, NY 12871-1840
Phone
(518) 538-3510
NPI assigned
Oct 25, 2012
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
010034-1NYMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 010034-1 NY
Pediatric Occupational Therapist 225XP0200X 010034-1 NY Yes

Addresses

Primary practice location

274 Hayes Rd
Schuylerville, NY 12871-1840

Mailing address

45 Bayberry Dr
Malta, NY 12020-6307
Phone (518) 581-8085

Other providers in Schuylerville, NY

All providers in Schuylerville, NY · Pediatric Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.