National Provider Identifier
Carrie M Hathaway, OTR
Carrie M Hathaway, OTR is listed in the NPPES registry with a primary specialty of Occupational Therapist in Ithaca, NY and a listed phone number of (607) 257-5858.
Profile Overview
- NPI
- 1619273166
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- February 01, 2011
- Last Updated
- January 11, 2022
Practice Location
- 322 N Aurora St
- Ithaca, NY 14850-4202
Phone: (607) 257-5858
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1619273166
- Entity Type
- Individual
- Last Name
- Hathaway
- First Name
- Carrie
- Middle Name
- M
- Credential
- OTR
- Provider Other Last Name
- Marchenkoff
- Provider Other First Name
- Carrie
- Provider Other Middle Name
- M
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 322 N Aurora St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4202
- Mailing Country
- US
- Mailing Phone
- (570) 888-5858
- Practice Street Address
- 322 N Aurora St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4202
- Practice Country
- US
- Practice Phone
- (607) 257-5858
- Practice Fax
- (607) 257-1718
- Enumeration Date
- February 01, 2011
- Last Updated
- January 11, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)