Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 46TR01019600 | NJ |
NPI | 1043977408 |
---|---|
Provider Name | Samantha Ann Weinstein |
First Address | New Providence, NJ 07974-1690 |
Second Address | Metuchen, NJ 08840-2273 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2021 |
Last Update Date | 19/11/2021 |