Provider Demographics
NPI:1467697185
Name:INDERWIES, MICHELLE AKINS (OTR)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:AKINS
Last Name:INDERWIES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:ANGELICA
Other - Last Name:AKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:734 FULTON ST
Mailing Address - Street 2:APT 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1514
Mailing Address - Country:US
Mailing Address - Phone:718-757-6317
Mailing Address - Fax:
Practice Address - Street 1:116 W 32ND ST
Practice Address - Street 2:8TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3212
Practice Address - Country:US
Practice Address - Phone:212-564-2350
Practice Address - Fax:
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
NY006366-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist