Provider Demographics
NPI:1427358019
Name:NATION, ODELE ANTOINETTE (OT)
Entity Type:Individual
Prefix:MRS
First Name:ODELE
Middle Name:ANTOINETTE
Last Name:NATION
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 1:1737 BROOKLYN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3428
Mailing Address - Country:US
Mailing Address - Phone:718-258-4148
Mailing Address - Fax:
Practice Address - Street 1:1737 BROOKLYN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3428
Practice Address - Country:US
Practice Address - Phone:718-258-4148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist