Provider Demographics
NPI:1700470432
Name:MEHL, MIRIAM (OTRL)
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:
Last Name:MEHL
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 KEARSING PKWY APT C
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-7216
Mailing Address - Country:US
Mailing Address - Phone:443-621-1638
Mailing Address - Fax:
Practice Address - Street 1:48 BAKERTOWN RD STE 401
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-8433
Practice Address - Country:US
Practice Address - Phone:845-782-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist