Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 46TR00546300 | NJ |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 46TR00546300 | NJ |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 46TR00546300 | NJ |
NPI | 1932525649 |
---|---|
Provider Name | Rena Kaplan |
First Address | Lakewood, NJ 08701-4965 |
Second Address | Lakewood, NJ 08701-4968 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2014 |
Last Update Date | 20/09/2021 |