Provider Demographics
NPI:1295227734
Name:ORRANGE, JAMES PATRICK (OTR/L)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:PATRICK
Last Name:ORRANGE
Suffix:
Gender:M
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 1:235 HIGHLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1407
Mailing Address - Country:US
Mailing Address - Phone:716-873-7263
Mailing Address - Fax:
Practice Address - Street 1:235 HIGHLAND PKWY
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14223-1407
Practice Address - Country:US
Practice Address - Phone:716-873-7263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225XP0019X
NY08611-1225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation