Individual provider · Type 1 NPI

Nicole Berry, OTR/L

Occupational Therapist · Port Jeff Sta, NY

NPI number 1730780693 Active

Practice location

299 Hallock Ave
Port Jeff Sta, NY 11776-1217

Mailing address

65 Hurtin St
Port Jefferson Station, NY 11776-3709

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X025113 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1730780693

Nicole Berry, OTR/L's National Provider Identifier is 1730780693, issued on Nov 5, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Port Jeff Sta, NY. The record was last updated on Nov 5, 2020.