Provider Demographics
NPI:1679266787
Name:ZIEGLER, TIANI C (OTR/L)
Entity Type:Individual
Prefix:
First Name:TIANI
Middle Name:C
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:TIANI
Other - Middle Name:C
Other - Last Name:DEBLOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:53 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12835-1836
Mailing Address - Country:US
Mailing Address - Phone:518-742-6976
Mailing Address - Fax:
Practice Address - Street 1:1270 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2104
Practice Address - Country:US
Practice Address - Phone:518-382-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027034225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist