Provider Demographics
NPI:1568122364
Name:ADVANCED OCCUPATIONAL THERAPY P C
Entity Type:Organization
Organization Name:ADVANCED OCCUPATIONAL THERAPY P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHER-CAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, OTR/L
Authorized Official - Phone:518-239-4367
Mailing Address - Street 1:2132 ROUTE 20
Mailing Address - Street 2:
Mailing Address - City:EAST DURHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12423-1555
Mailing Address - Country:US
Mailing Address - Phone:518-239-4367
Mailing Address - Fax:
Practice Address - Street 1:2132 ROUTE 20
Practice Address - Street 2:
Practice Address - City:EAST DURHAM
Practice Address - State:NY
Practice Address - Zip Code:12423-1555
Practice Address - Country:US
Practice Address - Phone:518-239-4367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-21
Last Update Date:2022-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No251E00000XAgenciesHome Health