Provider Demographics
NPI:1013104678
Name:PUPLAMPU, MICHELE MARINA (OTR/L)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:MARINA
Last Name:PUPLAMPU
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 1:139 E 57TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2102
Mailing Address - Country:US
Mailing Address - Phone:212-753-4767
Mailing Address - Fax:212-753-4067
Practice Address - Street 1:139 E 57TH ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2102
Practice Address - Country:US
Practice Address - Phone:212-753-4767
Practice Address - Fax:212-753-4067
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005628-1225XH1200X, 225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology