Provider Demographics
NPI:1548668320
Name:THANDALAM, MEADHINI (BOT,OTR)
Entity type:Individual
Prefix:
First Name:MEADHINI
Middle Name:
Last Name:THANDALAM
Suffix:
Gender:F
Credentials:BOT,OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 MARC DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08810-1388
Mailing Address - Country:US
Mailing Address - Phone:732-666-3303
Mailing Address - Fax:
Practice Address - Street 1:90 MARC DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:NJ
Practice Address - Zip Code:08810-1388
Practice Address - Country:US
Practice Address - Phone:732-666-3303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist