Provider Demographics
NPI:1598119661
Name:FERRARI, KATHERINE (COTA/L)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:FERRARI
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:LUYANDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:103 STONEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-9391
Mailing Address - Country:US
Mailing Address - Phone:646-341-1456
Mailing Address - Fax:
Practice Address - Street 1:15 BEACH RD
Practice Address - Street 2:
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764-1802
Practice Address - Country:US
Practice Address - Phone:646-341-1456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008847224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant