Provider Demographics
NPI:1205433190
Name:KROMER, SAVANNAH LEE HOWLAND (MS OTR/L)
Entity type:Individual
Prefix:MRS
First Name:SAVANNAH
Middle Name:LEE HOWLAND
Last Name:KROMER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:LEE
Other - Last Name:HOWLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:2 SHELDON GUILE BLVD
Mailing Address - Street 2:
Mailing Address - City:OWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13827-1000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 SHELDON GUILE BLVD
Practice Address - Street 2:
Practice Address - City:OWEGO
Practice Address - State:NY
Practice Address - Zip Code:13827-1000
Practice Address - Country:US
Practice Address - Phone:607-687-7303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023994225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist