Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0022531 | NY |
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 46TR0048570 | NJ |
NPI | 1093198756 |
---|---|
Provider Name | Judith Weinberger |
First Address | Fair Lawn, NJ 07410-5808 |
Second Address | Fair Lawn, NJ 07410-5808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2015 |
Last Update Date | 30/06/2015 |