Provider Demographics
NPI:1194053447
Name:THIERER, FELICIA G (OTR/L)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:G
Last Name:THIERER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 VANTAGE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-3206
Mailing Address - Country:US
Mailing Address - Phone:585-248-0176
Mailing Address - Fax:585-425-1785
Practice Address - Street 1:10 VANTAGE DR
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-3206
Practice Address - Country:US
Practice Address - Phone:585-248-0176
Practice Address - Fax:585-425-1785
Is Sole Proprietor?:No
Enumeration Date:2009-11-25
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist