Provider Demographics
NPI:1386878627
Name:OHASHI, SUSAN MEREDITH (OTR/L)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:MEREDITH
Last Name:OHASHI
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 1:311 LINCOLN PL
Mailing Address - Street 2:APT. 1-B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-5756
Mailing Address - Country:US
Mailing Address - Phone:212-203-3700
Mailing Address - Fax:
Practice Address - Street 1:311 LINCOLN PL
Practice Address - Street 2:APT. 1-B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-5756
Practice Address - Country:US
Practice Address - Phone:212-203-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012894225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist