Individual provider · Type 1 NPI

Pranulin Phrommavanh, OTD, OTR/L

Occupational Therapist · New York, NY

NPI number 1730909235 Active

Practice location

161 6th Ave
New York, NY 10013-1205

Mailing address

8 Marguy St
Quaker Hill, CT 06375-1121

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X6289 (CT)

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 1730909235

Pranulin Phrommavanh, OTD, OTR/L's National Provider Identifier is 1730909235, issued on Oct 10, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in New York, NY. The record was last updated on Jun 23, 2026.