Timothy A Bressler, OTA

Individual provider Active NPI Occupational Therapy Assistant · Wayland, NY

NPI 1801044904 · NPPES record last updated Jun 11, 2010

Key facts

NPI
1801044904
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
64-007115 (NY)
Practice address
15 Pleasantside Dr
Wayland, NY 14572-1219
Phone
(585) 735-5994
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
64-007115NYMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 64-007115 NY Yes

Addresses

Primary practice location

15 Pleasantside Dr
Wayland, NY 14572-1219

Mailing address

15 Pleasantside Dr
Wayland, NY 14572-1219
Phone (585) 735-5994

Other providers in Wayland, NY

All providers in Wayland, NY · Occupational Therapy Assistant in New York

Sources for this page

Verify at the official NPI Registry.