Provider Demographics
NPI:1164659041
Name:RITCHIE, CAMILLE (OTR)
Entity Type:Individual
Prefix:MS
First Name:CAMILLE
Middle Name:
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 STRACHAN PL
Mailing Address - Street 2:
Mailing Address - City:GARNERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10923-1712
Mailing Address - Country:US
Mailing Address - Phone:845-429-3055
Mailing Address - Fax:
Practice Address - Street 1:12 STRACHAN PL
Practice Address - Street 2:
Practice Address - City:GARNERVILLE
Practice Address - State:NY
Practice Address - Zip Code:10923-1712
Practice Address - Country:US
Practice Address - Phone:845-429-3055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015530-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist