Individual provider · Type 1 NPI

Mya Pauline Pennisi, MS, OTR/L

Occupational Therapist · Staten Island, NY

NPI number 1851148779 Active

Practice location

3391 Richmond Ave
Staten Island, NY 10312-2025

Call (718) 608-9170 Map

Mailing address

341 Sprague Ave
Staten Island, NY 10307-1933

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X029103 (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 1851148779

Mya Pauline Pennisi, MS, OTR/L's National Provider Identifier is 1851148779, issued on Apr 30, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 23, 2024.