Provider Demographics
NPI:1093006736
Name:OBLER, DORIS RUTH (OT)
Entity Type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:RUTH
Last Name:OBLER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 VANDERBILT AVE
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-1920
Mailing Address - Country:US
Mailing Address - Phone:718-780-4509
Mailing Address - Fax:718-780-4535
Practice Address - Street 1:60 VANDERBILT AVE
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-1920
Practice Address - Country:US
Practice Address - Phone:718-780-4509
Practice Address - Fax:718-780-4535
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003771-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist