Provider Demographics
NPI:1861567414
Name:MOWERS, WENDY (OTR)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:MOWERS
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 1:4 ELLIOTT PL
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NY
Mailing Address - Zip Code:13323-1408
Mailing Address - Country:US
Mailing Address - Phone:315-272-2200
Mailing Address - Fax:
Practice Address - Street 1:4290 MIDDLE SETTLEMENT RD
Practice Address - Street 2:OCCUPATIONAL THERAPY DEPT
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-5314
Practice Address - Country:US
Practice Address - Phone:315-272-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001961-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist