Provider Demographics
NPI:1831421692
Name:METZLER, TRISTA M (OTRL)
Entity type:Individual
Prefix:
First Name:TRISTA
Middle Name:M
Last Name:METZLER
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:PO BOX 791217
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-1217
Mailing Address - Country:US
Mailing Address - Phone:301-932-4785
Mailing Address - Fax:301-932-4789
Practice Address - Street 1:2777 RICHMOND HWY STE 109
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-8323
Practice Address - Country:US
Practice Address - Phone:403-188-6155
Practice Address - Fax:540-318-8619
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYOTR-809225X00000X
VA0019007187225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist