Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Telisa T Wardlaw, OTR

Individual provider Occupational Therapist · NPI 1164588158

MS. Telisa T Wardlaw, OTR is an Occupational Therapist in Rosedale, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

220-28 147th Ave
Rosedale, NY 11413
Phone: (718) 276-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 016130-1 (NY)

Record details

NPI number1164588158
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedDecember 28, 2006
Last updated in NPPESJanuary 19, 2012

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