Provider Demographics
NPI:1255344271
Name:DOWLING, CAROLINE D'ANGELO (MA, OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:D'ANGELO
Last Name:DOWLING
Suffix:
Gender:F
Credentials:MA, OTR/L, CHT
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:Y
Other - Last Name:D'ANGELO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5151 CORONADO AVE
Mailing Address - Street 2:APT 4
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1059
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:535 E 70TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4823
Practice Address - Country:US
Practice Address - Phone:510-908-3433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2022-01-11
Deactivation Date:2009-02-26
Deactivation Code:
Reactivation Date:2018-09-11
Provider Licenses
StateLicense IDTaxonomies
CA3901225X00000X
NJ46TR00909600225X00000X
NY021945225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist