Provider Demographics
NPI:1548217995
Name:LOWE, DEBRA (OT)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:SCHIPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:604 BARNARD AVE
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2710
Mailing Address - Country:US
Mailing Address - Phone:516-295-3981
Mailing Address - Fax:
Practice Address - Street 1:160 BEACH 29TH ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-2029
Practice Address - Country:US
Practice Address - Phone:718-327-5860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010360225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist