MEDICARE: JENNIFER ANNE CATNEY OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	023323-01	NY

General Provider Information

NPI Number	:	1124830757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANNE CATNEY OTR/L

Provider Business Mailing Address
First Line	:	312 JAMESVILLE RD
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13214-2218
Country	:	US
Telephone Number	:	315-569-8590
Fax Number	:

Provider Business Practice Location Address
First Line	:	4151 SPLIT ROCK RD
Second Line	:
City	:	CAMILLUS
State	:	NY
Zip	:	13031-9716
Country	:	US
Telephone Number	:	315-487-4555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2025
Last Update Date	:	01/21/2025

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