Provider Demographics
NPI:1386908820
Name:D'AQUINO, MARIA (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:D'AQUINO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 OLD MIDDLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-2710
Mailing Address - Country:US
Mailing Address - Phone:845-639-6482
Mailing Address - Fax:845-639-6394
Practice Address - Street 1:214 SICKLETOWN RD
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2906
Practice Address - Country:US
Practice Address - Phone:845-639-6482
Practice Address - Fax:845-639-6394
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7582225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist