Provider Demographics
NPI:1780959437
Name:KNOEBEL, DONNA CAPIZZI (MS,OTR)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:CAPIZZI
Last Name:KNOEBEL
Suffix:
Gender:F
Credentials:MS,OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 SICKLES AVE
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-2517
Mailing Address - Country:US
Mailing Address - Phone:845-358-5438
Mailing Address - Fax:
Practice Address - Street 1:86 SICKLES AVE
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-2517
Practice Address - Country:US
Practice Address - Phone:845-358-5438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004097-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist