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

MS. JOHANNA WHITNEY POVLOCK, OTR/L

Active

MS. JOHANNA WHITNEY POVLOCK, OTR/L is a Occupational Therapist healthcare provider located in MEMPHIS, New York. NPI 1366551491 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MEMPHIS, NY

Registration Details

NPI Number
1366551491
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2006 (19.968915673226 yrs)
Last Updated
Oct 22, 2019
License
010137-1 (NY)

Practice Information

Address
7057 KINGDOM RD
MEMPHIS, NY, 131128702
Browse NY providers · Browse ZIP 13112
Phone
3155695639
Primary Specialty
Occupational Therapist
225X00000X
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.