Basic Information
| Provider Information | |||||||||
| NPI: | 1013104678 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PUPLAMPU | ||||||||
| FirstName: | MICHELE | ||||||||
| MiddleName: | MARINA | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 139 E 57TH ST FL 3 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100222102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127534767 | ||||||||
| FaxNumber: | 2127534067 | ||||||||
| Practice Location | |||||||||
| Address1: | 139 E 57TH ST FL 3 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100222102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127534767 | ||||||||
| FaxNumber: | 2127534067 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2007 | ||||||||
| LastUpdateDate: | 03/13/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XH1200X | 005628-1 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand | 225XG0600X | 005628-1 | NY | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Gerontology |
No ID Information.