DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEAN MARIE WANNALL, OTR/L, OTD

Active Sole Proprietor

DR. JEAN MARIE WANNALL, OTR/L, OTD is a Occupational Therapist healthcare provider located in GROTON, New York. NPI 1285003764 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · GROTON, NY

Registration Details

NPI Number
1285003764
Provider Type
Individual
Gender
Female
NPI Issued
Sep 15, 2015 (10.934344427838 yrs)
Last Updated
Sep 15, 2015
License
006296 (NY)
Sole Proprietor
Yes

Practice Information

Address
205 CLARK STREET EXT
GROTON, NY, 130739401
Browse NY providers · Browse ZIP 13073
Phone
6078984282
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in GROTON, NY

Name Credential NPI
MISS KELLY B STALNAKER OTR/L 1225345531
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.