Provider Demographics
NPI:1336460849
Name:MARCATO, ABBY LAHART (OTR/L)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:LAHART
Last Name:MARCATO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:LAHART
Other - Last Name:MARCATO REEVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:12821 ESTRELLA VISTA
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064
Mailing Address - Country:US
Mailing Address - Phone:860-830-4042
Mailing Address - Fax:
Practice Address - Street 1:12821 ESTRELLA VISTA
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064
Practice Address - Country:US
Practice Address - Phone:860-830-4042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004784225X00000X
CT3430225X00000X
CA12233225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist