Individual provider · Type 1 NPI

Dominique Rose Fortino, OTR/L

Occupational Therapist · Syracuse, NY

NPI number 1821740879 Active

Practice location

500 Wadsworth St
Syracuse, NY 13208-3035

Call (315) 435-4670 Map

Mailing address

302 Oakridge Dr
Camillus, NY 13031-2222

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X021867 (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 1821740879

Dominique Rose Fortino, OTR/L's National Provider Identifier is 1821740879, issued on Jan 21, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Syracuse, NY. The record was last updated on Jan 21, 2022.