MEDICARE: ALLISON MENSCH 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	018821	NY

General Provider Information

NPI Number	:	1861804924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON MENSCH OTR/L

Provider Business Mailing Address
First Line	:	4282 W LINDA LN
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85226-6215
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 W 34TH ST
Second Line	:	APARTEMENT 6G
City	:	NEW YORK
State	:	NY
Zip	:	10001-2403
Country	:	US
Telephone Number	:	480-330-1885
Fax Number	:

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

Provider Enumeration Date	:	05/23/2014
Last Update Date	:	05/23/2014

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Directions to “ ALLISON MENSCH OTR/L” Practice Location

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