Provider Demographics
NPI:1467710566
Name:TAPIA, SERAFIN ANDAYA (OTA/L)
Entity Type:Individual
Prefix:MR
First Name:SERAFIN
Middle Name:ANDAYA
Last Name:TAPIA
Suffix:
Gender:M
Credentials:OTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 TRAPICHE 3
Mailing Address - Street 2:
Mailing Address - City:TANAUAN
Mailing Address - State:BATANGAS
Mailing Address - Zip Code:4232
Mailing Address - Country:PH
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4040 68TH ST APT 3A
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-3888
Practice Address - Country:US
Practice Address - Phone:650-307-8638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007270224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant