Provider Demographics
NPI:1215209549
Name:RESSLER, TZILI (OTR/L)
Entity Type:Individual
Prefix:
First Name:TZILI
Middle Name:
Last Name:RESSLER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6122 PASEO JAQUITA
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-2205
Mailing Address - Country:US
Mailing Address - Phone:917-838-0315
Mailing Address - Fax:
Practice Address - Street 1:6122 PASEO JAQUITA
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-2205
Practice Address - Country:US
Practice Address - Phone:917-838-0315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006993-01225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist