Provider Demographics
NPI:1265656813
Name:WEISSER-PIKE, ORLI M (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:ORLI
Middle Name:M
Last Name:WEISSER-PIKE
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 LYNNFIELD ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2305
Mailing Address - Country:US
Mailing Address - Phone:901-468-3588
Mailing Address - Fax:
Practice Address - Street 1:31 LYNNFIELD ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2305
Practice Address - Country:US
Practice Address - Phone:901-468-3588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3093225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist