National Provider Identifier

Jill Charlene Barbuti Van Leuken, MS OTR/L

Jill Charlene Barbuti Van Leuken, MS OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Ithaca, NY and a listed phone number of (607) 351-1797.

NPI 1912228164Ithaca, NYOccupational Therapist

Profile Overview

NPI
1912228164
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
June 22, 2010
Last Updated
October 21, 2011

Practice Location

  • 313 Center St
  • Ithaca, NY 14850-5225

Phone: (607) 351-1797

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1912228164
Entity Type
Individual
Last Name
Barbuti Van Leuken
First Name
Jill
Middle Name
Charlene
Credential
MS OTR/L
Provider Other Last Name
Van Leuken
Provider Other First Name
Jill
Provider Other Middle Name
Charlene Barbuti
Provider Other Credential Text
MS OTR/L
Provider Other Last Name Type Code
2
Mailing Street Address
313 Center St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-5225
Mailing Country
US
Mailing Phone
(607) 351-1797
Practice Street Address
313 Center St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5225
Practice Country
US
Practice Phone
(607) 351-1797
Enumeration Date
June 22, 2010
Last Updated
October 21, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)