Provider Demographics
NPI:1033235510
Name:BELCHER, TAMMY L (MS, OTR L)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:L
Last Name:BELCHER
Suffix:
Gender:F
Credentials:MS, OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 TULIP DR
Mailing Address - Street 2:
Mailing Address - City:VALLEY COTTAGE
Mailing Address - State:NY
Mailing Address - Zip Code:10989-2205
Mailing Address - Country:US
Mailing Address - Phone:845-268-2323
Mailing Address - Fax:845-268-2322
Practice Address - Street 1:819 TULIP DR
Practice Address - Street 2:
Practice Address - City:VALLEY COTTAGE
Practice Address - State:NY
Practice Address - Zip Code:10989-2205
Practice Address - Country:US
Practice Address - Phone:845-268-2323
Practice Address - Fax:845-268-2322
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006915174400000X
NJ46TR00326800174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist