Provider Demographics
NPI:1992513683
Name:SCHOTTENFELD, BATSHEVA (OTR/L)
Entity type:Individual
Prefix:
First Name:BATSHEVA
Middle Name:
Last Name:SCHOTTENFELD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:BATSHEVA
Other - Middle Name:
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:526 SEAGIRT BLVD
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5635
Mailing Address - Country:US
Mailing Address - Phone:917-704-0789
Mailing Address - Fax:
Practice Address - Street 1:526 SEAGIRT BLVD
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5635
Practice Address - Country:US
Practice Address - Phone:917-704-0789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029806-01225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist