Provider Demographics
NPI:1033364179
Name:LAMARRE-DELATOUR, MARIE CARMEL (MA,OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:CARMEL
Last Name:LAMARRE-DELATOUR
Suffix:
Gender:F
Credentials:MA,OTR/L
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:LAMARRE
Other - Last Name:DELATOUR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA,OTR/L
Mailing Address - Street 1:5 CAROL CT
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5210
Mailing Address - Country:US
Mailing Address - Phone:516-850-4407
Mailing Address - Fax:
Practice Address - Street 1:5 CAROL CT
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-5210
Practice Address - Country:US
Practice Address - Phone:516-850-4407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009489-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist