Provider Demographics
NPI:1649033499
Name:BIERMAN, MELISSA RACHEL (MS/OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:RACHEL
Last Name:BIERMAN
Suffix:
Gender:F
Credentials:MS/OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 SUSSEX TPKE
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-4206
Mailing Address - Country:US
Mailing Address - Phone:973-214-1653
Mailing Address - Fax:
Practice Address - Street 1:1101 SUSSEX TPKE
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-4206
Practice Address - Country:US
Practice Address - Phone:973-214-1653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027872-01225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist