MEDICARE: LIZ OGIR JD, OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	018800	NY

General Provider Information

NPI Number	:	1699186452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZ OGIR JD, OTR/L

Provider Business Mailing Address
First Line	:	10329 111TH ST
Second Line	:
City	:	SOUTH RICHMOND HILL
State	:	NY
Zip	:	11419-1727
Country	:	US
Telephone Number	:	646-209-3164
Fax Number	:

Provider Business Practice Location Address
First Line	:	805 KENT AVE
Second Line	:	SUITE 101
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1581
Country	:	US
Telephone Number	:	718-473-3808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2014
Last Update Date	:	05/14/2014

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