Provider Demographics
NPI:1760799928
Name:LORIEO, JACQUELINE SCUTT (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:SCUTT
Last Name:LORIEO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WINDSOR TER
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1512
Mailing Address - Country:US
Mailing Address - Phone:914-595-2545
Mailing Address - Fax:212-523-2814
Practice Address - Street 1:101 WINDSOR TER
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1512
Practice Address - Country:US
Practice Address - Phone:914-595-2545
Practice Address - Fax:212-523-2814
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001203-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics