Provider Demographics
NPI:1790144434
Name:ROCHARD, WHITNEY (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:ROCHARD
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 E 170TH ST APT 5I
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-2357
Mailing Address - Country:US
Mailing Address - Phone:347-265-8497
Mailing Address - Fax:
Practice Address - Street 1:550 E 170TH ST APT 5I
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-2357
Practice Address - Country:US
Practice Address - Phone:347-265-8497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017419-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist