Provider Demographics
NPI:1144436759
Name:FIGONE, JOANNE J (OTR)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:J
Last Name:FIGONE
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 1:17 HALSEY AVE
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-4914
Mailing Address - Country:US
Mailing Address - Phone:707-782-9467
Mailing Address - Fax:707-782-9466
Practice Address - Street 1:629 E D ST
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-3213
Practice Address - Country:US
Practice Address - Phone:707-782-9467
Practice Address - Fax:707-782-9466
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 2133225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics