National Provider Identifier

Raeann Marie Waterman, MS OTR/L

Raeann Marie Waterman, MS OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1831807627Victor, NYOccupational Therapist

Profile Overview

NPI
1831807627
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
November 09, 2022
Last Updated
November 09, 2022

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 205 Almond St
  • Oneida, NY 13421-1401

Specialties

  • Occupational Therapist (225X00000X)
  • Occupational Therapist (225X00000X)
Full Record
NPI
1831807627
Entity Type
Individual
Last Name
Waterman
First Name
Raeann
Middle Name
Marie
Credential
MS OTR/L
Mailing Street Address
205 Almond St
Mailing City
Oneida
Mailing State
NY
Mailing ZIP Code
13421-1401
Mailing Country
US
Mailing Phone
(315) 897-0821
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
November 09, 2022
Last Updated
November 09, 2022
Sex
Female
Sole Proprietor
No
Certification Date
November 09, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Occupational Therapist (225X00000X)