Healthcare Provider Details

I. General information

NPI: 1871021626
Provider Name (Legal Business Name): MAUREEN PRITCHARD OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2017
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 NELSON AVE
STATEN ISLAND NY
10308-3408
US

IV. Provider business mailing address

23 GARDENIA CT
SAYREVILLE NJ
08872-2123
US

V. Phone/Fax

Practice location:
  • Phone: 929-423-6981
  • Fax:
Mailing address:
  • Phone: 929-423-6981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number021469
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number021469
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: