Provider Demographics
NPI:1306111430
Name:ARAMBULO, KATHERINE JOEY (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:JOEY
Last Name:ARAMBULO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:JOEY
Other - Last Name:DUERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:42 TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-4405
Mailing Address - Country:US
Mailing Address - Phone:718-864-4562
Mailing Address - Fax:
Practice Address - Street 1:42 TERRACE AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-4405
Practice Address - Country:US
Practice Address - Phone:718-864-4562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013524225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist