Provider Demographics
NPI:1336590397
Name:CA OCCUPATIONAL THERAPIES, LLC
Entity Type:Organization
Organization Name:CA OCCUPATIONAL THERAPIES, LLC
Other - Org Name:CA OCCUPATIONAL THERAPIES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LATEER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:315-854-5966
Mailing Address - Street 1:505 ROBERTS ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-4515
Mailing Address - Country:US
Mailing Address - Phone:315-790-5392
Mailing Address - Fax:315-732-5394
Practice Address - Street 1:505 ROBERTS ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-4515
Practice Address - Country:US
Practice Address - Phone:315-894-5966
Practice Address - Fax:315-732-5394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0171271225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty