Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 46TR00376300 | NJ |
NPI | 1023106556 |
---|---|
Provider Name | Ms. Peggy Elizabeth Lambe |
First Address | Mountain Lakes, NJ 07046 |
Second Address | Mountain Lakes, NJ 07046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 11/08/2019 |