Provider Demographics
NPI: | 1659685055 |
---|---|
Name: | BLASIER, HOLLY MH (OTR/L) |
Entity type: | Individual |
Prefix: | MS |
First Name: | HOLLY |
Middle Name: | MH |
Last Name: | BLASIER |
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: | 147 W 35TH ST |
Mailing Address - Street 2: | SUITE 407 |
Mailing Address - City: | NEW YORK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10001-2110 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 917-685-9334 |
Mailing Address - Fax: | 917-591-8494 |
Practice Address - Street 1: | 147 W 35TH ST |
Practice Address - Street 2: | SUITE 407 |
Practice Address - City: | NEW YORK |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10001-2110 |
Practice Address - Country: | US |
Practice Address - Phone: | 917-685-9334 |
Practice Address - Fax: | 917-591-8494 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2010-07-28 |
Last Update Date: | 2010-07-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 006795-1 | 225X00000X, 225XE0001X, 225XE1200X, 225XF0002X, 225XG0600X, 225XH1200X, 225XL0004X, 225XM0800X, 225XN1300X, 225XP0019X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
No | 225XE0001X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Environmental Modification |
No | 225XE1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Ergonomics |
No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing |
No | 225XG0600X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Gerontology |
No | 225XH1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
No | 225XL0004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Low Vision |
No | 225XM0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Mental Health |
No | 225XN1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation |
No | 225XP0019X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Physical Rehabilitation |