Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand |
NPI | 1164476685 |
---|---|
Provider Name | Mrs. Asha P Junankar |
First Address | Wayne, NJ 07470-5823 |
Second Address | Wayne, NJ 07470-5823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 22/07/2008 |