Provider Demographics
NPI:1376131730
Name:OWENS, WILLIAM I III (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:I
Last Name:OWENS
Suffix:III
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 LARCHMONT ACRES APT 1B
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-7313
Mailing Address - Country:US
Mailing Address - Phone:646-371-8866
Mailing Address - Fax:
Practice Address - Street 1:3530 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-1511
Practice Address - Country:US
Practice Address - Phone:718-655-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-01
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028018-01225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation