Provider Demographics
NPI:1831462563
Name:ABBATO, ARIELLE JENA (OT)
Entity Type:Individual
Prefix:MISS
First Name:ARIELLE
Middle Name:JENA
Last Name:ABBATO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 ZOPHAR MILLS RD
Mailing Address - Street 2:
Mailing Address - City:WADING RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:11792-9525
Mailing Address - Country:US
Mailing Address - Phone:631-327-2645
Mailing Address - Fax:
Practice Address - Street 1:43 ZOPHAR MILLS RD
Practice Address - Street 2:
Practice Address - City:WADING RIVER
Practice Address - State:NY
Practice Address - Zip Code:11792-9525
Practice Address - Country:US
Practice Address - Phone:631-327-2645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017244225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist