Provider Demographics
NPI:1427366707
Name:MOOTZ, RENE J (RENE MOOTZ OTR/L)
Entity Type:Individual
Prefix:MS
First Name:RENE
Middle Name:J
Last Name:MOOTZ
Suffix:
Gender:F
Credentials:RENE MOOTZ OTR/L
Other - Prefix:
Other - First Name:RENE
Other - Middle Name:J
Other - Last Name:ARCAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RENE J ARCAND OTR/L
Mailing Address - Street 1:7 LINDALE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-3721
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7 LINDALE AVE
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-3721
Practice Address - Country:US
Practice Address - Phone:315-790-5240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4327-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist