Provider Demographics
NPI:1689181596
Name:LOWERY, JAIME MARIE (OTR/L)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:MARIE
Last Name:LOWERY
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 1:35 SHAMROCK DR
Mailing Address - Street 2:
Mailing Address - City:PUTNAM VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10579-2908
Mailing Address - Country:US
Mailing Address - Phone:845-603-6395
Mailing Address - Fax:
Practice Address - Street 1:7 POUND RIDGE RD
Practice Address - Street 2:
Practice Address - City:POUND RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10576-1632
Practice Address - Country:US
Practice Address - Phone:914-764-8133
Practice Address - Fax:914-764-8133
Is Sole Proprietor?:No
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010803225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics