Provider Demographics
NPI:1841666427
Name:MEISELS, TERRY (OTR/L)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:
Last Name:MEISELS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:TZIRI
Other - Middle Name:
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1850 54TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1545
Mailing Address - Country:US
Mailing Address - Phone:718-232-4197
Mailing Address - Fax:
Practice Address - Street 1:1850 54TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1545
Practice Address - Country:US
Practice Address - Phone:718-232-4197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019807225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist