Healthcare Provider Details

I. General information

NPI: 1730878869
Provider Name (Legal Business Name): GABRIELLE MARIE SEARS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GABRIELLE PARKER

II. Dates (important events)

Enumeration Date: 05/04/2023
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

379 MT HOPE RD
MIDDLETOWN NY
10940-7135
US

IV. Provider business mailing address

10B MADISON AVENUE EXT
ALBANY NY
12203-7314
US

V. Phone/Fax

Practice location:
  • Phone: 845-344-2292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number027963
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: