Provider Demographics
NPI:1093980088
Name:KOHLER, GINGER ANN (MA, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:ANN
Last Name:KOHLER
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 WASHINGTON DR
Mailing Address - Street 2:
Mailing Address - City:CENTERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11721-1813
Mailing Address - Country:US
Mailing Address - Phone:631-423-0066
Mailing Address - Fax:
Practice Address - Street 1:910 WASHINGTON DR
Practice Address - Street 2:
Practice Address - City:CENTERPORT
Practice Address - State:NY
Practice Address - Zip Code:11721-1813
Practice Address - Country:US
Practice Address - Phone:631-423-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007145-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist