Provider Demographics
NPI:1851158422
Name:OYSTER BAY OCCUPATIONAL THERAPY PLLC
Entity Type:Organization
Organization Name:OYSTER BAY OCCUPATIONAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L, CSRS
Authorized Official - Phone:516-404-2795
Mailing Address - Street 1:600 PINE HOLLOW RD APT 11-1B
Mailing Address - Street 2:
Mailing Address - City:EAST NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:11732-1029
Mailing Address - Country:US
Mailing Address - Phone:516-404-2795
Mailing Address - Fax:
Practice Address - Street 1:600 PINE HOLLOW RD APT 11-1B
Practice Address - Street 2:
Practice Address - City:EAST NORWICH
Practice Address - State:NY
Practice Address - Zip Code:11732-1029
Practice Address - Country:US
Practice Address - Phone:516-404-2795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAITLIN BOWE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251E00000XAgenciesHome Health