Provider Demographics
NPI:1043331580
Name:MORAMARCO, ROBERT (OTR)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:MORAMARCO
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05767-9694
Mailing Address - Country:US
Mailing Address - Phone:802-767-4230
Mailing Address - Fax:
Practice Address - Street 1:77 KENNEDY DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05767-9694
Practice Address - Country:US
Practice Address - Phone:802-767-4230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT072-0000494225X00000X
MA3845225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist