Provider Demographics
NPI:1215203831
Name:SZPUNT, CATHERINE (MS, OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:
Last Name:SZPUNT
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3158 12TH ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-4804
Mailing Address - Country:US
Mailing Address - Phone:718-930-5855
Mailing Address - Fax:
Practice Address - Street 1:108 MONTROSE AVENUE
Practice Address - Street 2:PS 250
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-2008
Practice Address - Country:US
Practice Address - Phone:718-384-0889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015644-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist