Provider Demographics
NPI:1174813034
Name:MAUSKAR, HERSH MEERAM (B TH O ; OTR/L)
Entity type:Individual
Prefix:MR
First Name:HERSH
Middle Name:MEERAM
Last Name:MAUSKAR
Suffix:
Gender:M
Credentials:B TH O ; OTR/L
Other - Prefix:MR
Other - First Name:HARSHAVARDHAN
Other - Middle Name:RAMCHANDRA
Other - Last Name:MAUSKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BTH O ; OTR/L
Mailing Address - Street 1:7579 GENESTA ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-2800
Mailing Address - Country:US
Mailing Address - Phone:352-242-7643
Mailing Address - Fax:
Practice Address - Street 1:1587 SILHOUETTE DR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2757
Practice Address - Country:US
Practice Address - Phone:352-242-7643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT7190225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist