Individual provider · Type 1 NPI

Dominique Bassallo, OT

Occupational Therapist · Latham, NY

NPI number 1972437549 Active

Practice location

711 Troy Schenectady Rd Ste 216
Latham, NY 12110-2461

Call (518) 786-1667 Map

Fax (518) 786-1954

Mailing address

122 Remsen St
Cohoes, NY 12047-2968

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X031090 (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 1972437549

Dominique Bassallo, OT's National Provider Identifier is 1972437549, issued on Jun 10, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Latham, NY. The record was last updated on Jun 10, 2026.