| Mrs Brianna M Dather, OTR/L | |
|
380 Gaffney Dr, Watertown, NY 13601-1863 | |
| (315) 788-2730 | |
| Not Available |
| Full Name | Mrs Brianna M Dather |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 380 Gaffney Dr, Watertown, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881227536 | NPI | - | NPPES |
| 1881227536 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 024492 (New York) | Primary |
| Provider Name | Nysarc Inc. Onondaga County Chapter |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043397490 PECOS PAC ID: 9537252184 Enrollment ID: O20070912000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brianna M Dather, OTR/L 420 Gaffney Dr, Watertown, NY 13601-1823 Ph: (315) 788-2730 | Mrs Brianna M Dather, OTR/L 380 Gaffney Dr, Watertown, NY 13601-1863 Ph: (315) 788-2730 |
Kristi Marie Balcom, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1635 Ohio St, Watertown, NY 13601 Phone: 315-786-7285 Fax: 315-786-7270 | |
Caitlin Defranco, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4000 | |
Madison Elizabeth Derouin, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 Gaffney Dr, Watertown, NY 13601 Phone: 315-788-2730 | |
Jaclyn Lane, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20104 Nys Rt 3, Watertown, NY 13601 Phone: 315-779-7100 | |
Mr. Richard Paul Rotondi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20104 State Route 3, Jefferson Lewis County Boces, Watertown, NY 13601 Phone: 315-779-7100 Fax: 315-779-7109 | |
Dawn M Mcgrath, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16783 Ives Street Ext, Watertown, NY 13601 Phone: 315-788-5377 | |
Lisa D Cooley, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20104 Ny State Rte 3, Watertown, NY 13601 Phone: 315-779-7100 Fax: 131-577-9710 |