Provider Demographics
NPI:1619683398
Name:ROCHESTER OCCUPATIONAL THERAPY PLLC
Entity Type:Organization
Organization Name:ROCHESTER OCCUPATIONAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HALF OWNER/OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAACK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:585-420-8367
Mailing Address - Street 1:9 1/2 DONLON ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-3013
Mailing Address - Country:US
Mailing Address - Phone:585-420-8367
Mailing Address - Fax:585-625-0105
Practice Address - Street 1:9 1/2 DONLON ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-3013
Practice Address - Country:US
Practice Address - Phone:585-420-8367
Practice Address - Fax:585-625-0105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty