Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 46TR00043900 | NJ |
NPI | 1053616623 |
---|---|
Provider Name | Mrs. Dana Beth Schrager |
First Address | East Brunswick, NJ 08816-2015 |
Second Address | East Brunswick, NJ 08816-2015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2011 |
Last Update Date | 12/01/2011 |