Provider Demographics
NPI:1558037572
Name:MONTHIE, GENEVIEVE MARY (OTR/L)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:MARY
Last Name:MONTHIE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:MARY
Other - Last Name:HENEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 ROUTE 146 STE 494
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3910
Mailing Address - Country:US
Mailing Address - Phone:518-209-9648
Mailing Address - Fax:518-816-0709
Practice Address - Street 1:800 ROUTE 146 STE 494
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3910
Practice Address - Country:US
Practice Address - Phone:518-209-9648
Practice Address - Fax:518-816-0709
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2024-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024735-01225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics