Provider Demographics
NPI:1912773045
Name:MEIER, PHILIP SHEEHAN (COTA/L)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:SHEEHAN
Last Name:MEIER
Suffix:
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 LINDEN CT
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-1933
Mailing Address - Country:US
Mailing Address - Phone:859-640-9141
Mailing Address - Fax:
Practice Address - Street 1:13 LINDEN CT
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-1933
Practice Address - Country:US
Practice Address - Phone:859-640-9141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA004944224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant