Provider Demographics
NPI:1043455801
Name:BARONE, CATHERINE M (OTR/L)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:M
Last Name:BARONE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:M
Other - Last Name:BURLINGAME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1603 COURT ST.
Mailing Address - Street 2:ENABLE
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13208
Mailing Address - Country:US
Mailing Address - Phone:315-455-7591
Mailing Address - Fax:315-455-2494
Practice Address - Street 1:620 WEST GENESEE ST.
Practice Address - Street 2:EXPLORING YOUR WORLD NURSERY SCHOOL
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13204
Practice Address - Country:US
Practice Address - Phone:315-218-0296
Practice Address - Fax:315-471-6028
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002890-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist