Provider Demographics
NPI:1013185800
Name:COMISKEY, DOREEN M (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:DOREEN
Middle Name:M
Last Name:COMISKEY
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 1:22102 SERENATA CIR E
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5335
Mailing Address - Country:US
Mailing Address - Phone:561-361-0907
Mailing Address - Fax:561-361-0907
Practice Address - Street 1:22102 SERENATA CIR E
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5335
Practice Address - Country:US
Practice Address - Phone:561-361-0907
Practice Address - Fax:561-361-0907
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT2998225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist