Individual provider · Type 1 NPI

Domenica Disalvo Potter, O.T.

Occupational Therapist · Medford, NY

NPI number 1972753549 Active

Practice location

6 Long Acre Ct
Medford, NY 11763-2127

Fax (631) 675-4503

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X003779-1 (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 1972753549

Domenica Disalvo Potter, O.T.'s National Provider Identifier is 1972753549, issued on Sep 19, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Medford, NY. The record was last updated on Sep 19, 2008.