Provider Demographics
NPI:1194300301
Name:DOWNES, MARISSA (OTR)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:
Last Name:DOWNES
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 1:585 PARKER AVE
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-5622
Mailing Address - Country:US
Mailing Address - Phone:845-417-4902
Mailing Address - Fax:
Practice Address - Street 1:585 PARKER AVE
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-5622
Practice Address - Country:US
Practice Address - Phone:845-417-4902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty