Provider Demographics
NPI:1023268158
Name:METZGER, VANESSA LIANE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:LIANE
Last Name:METZGER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 NORRANS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-4239
Mailing Address - Country:US
Mailing Address - Phone:203-482-0566
Mailing Address - Fax:
Practice Address - Street 1:30 NORRANS RIDGE DR
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4239
Practice Address - Country:US
Practice Address - Phone:203-482-0566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012082-1174400000X
CT002824174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist