Provider Demographics
NPI:1902960156
Name:PRITZLAFF, JOANNE (OTR)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:PRITZLAFF
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 FREDRIC ST
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2408
Mailing Address - Country:US
Mailing Address - Phone:718-410-1341
Mailing Address - Fax:718-410-1544
Practice Address - Street 1:38 FREDRIC ST
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2408
Practice Address - Country:US
Practice Address - Phone:718-410-1341
Practice Address - Fax:718-410-1544
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005850-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist