Basic Information
| Provider Information | |||||||||
| NPI: | 1720709173 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | OECHSLE | ||||||||
| FirstName: | TIMOTHY | ||||||||
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| Credential: | PT, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11 ROBYN DR | ||||||||
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| City: | MONROE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109504312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8456624097 | ||||||||
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| Practice Location | |||||||||
| Address1: | 955 YONKERS AVE | ||||||||
| Address2: | |||||||||
| City: | YONKERS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 107043060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147767310 | ||||||||
| FaxNumber: | 9147767566 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/05/2022 | ||||||||
| LastUpdateDate: | 09/05/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 049071 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.