Provider Demographics
NPI:1306670260
Name:DE LIMA, THAIS N (OTR)
Entity type:Individual
Prefix:
First Name:THAIS
Middle Name:N
Last Name:DE LIMA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 PINE ACRES BLVD
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-2127
Mailing Address - Country:US
Mailing Address - Phone:516-580-5878
Mailing Address - Fax:
Practice Address - Street 1:83 FOREST AVE
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2115
Practice Address - Country:US
Practice Address - Phone:516-464-2346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist