Provider Demographics
NPI:1437302742
Name:TROEDER, DENISE R (OTR/L)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:R
Last Name:TROEDER
Suffix:
Gender:F
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 1:230 GARTH RD.
Mailing Address - Street 2:APT. 7G1
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3961
Mailing Address - Country:US
Mailing Address - Phone:914-723-8411
Mailing Address - Fax:
Practice Address - Street 1:230 GARTH RD.
Practice Address - Street 2:APT. 7G1
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3961
Practice Address - Country:US
Practice Address - Phone:914-723-8411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008607-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics