National Provider Identifier
Michelle Diane Panzarello, OTR/L
Michelle Diane Panzarello, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Ithaca, NY and a listed phone number of (812) 431-5875.
Profile Overview
- NPI
- 1396054003
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- September 29, 2010
- Last Updated
- August 07, 2018
Practice Location
- 873 Bostwick RD
- Ithaca, NY 14850-9310
Phone: (812) 431-5875
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1396054003
- Entity Type
- Individual
- Last Name
- Panzarello
- First Name
- Michelle
- Middle Name
- Diane
- Credential
- OTR/L
- Mailing Street Address
- 873 Bostwick RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9310
- Mailing Country
- US
- Mailing Phone
- (812) 431-5875
- Practice Street Address
- 873 Bostwick RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9310
- Practice Country
- US
- Practice Phone
- (812) 431-5875
- Enumeration Date
- September 29, 2010
- Last Updated
- August 07, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)