Provider Demographics
NPI:1124288469
Name:DARLING, MICHELE (OTR)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:
Last Name:DARLING
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2185 SAWKILL RUBY RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-7127
Mailing Address - Country:US
Mailing Address - Phone:845-336-0320
Mailing Address - Fax:
Practice Address - Street 1:2185 SAWKILL RUBY RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-7127
Practice Address - Country:US
Practice Address - Phone:845-336-0320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004823-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics