Provider Demographics
NPI:1720585938
Name:ZEHNER, MELISSA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:ZEHNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:JENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1437 HORSESHOE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-2458
Mailing Address - Country:US
Mailing Address - Phone:516-343-6692
Mailing Address - Fax:
Practice Address - Street 1:1437 HORSESHOE DR
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-2458
Practice Address - Country:US
Practice Address - Phone:516-343-6692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014325225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist