Stephanie Pires

Individual provider Active NPI Occupational Therapy Assistant · Sayreville, NJ

NPI 1780124339 · NPPES record last updated Mar 1, 2017

Key facts

NPI
1780124339
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
46TA09128000 (NJ)
Practice address
39 Ridge Ave
Sayreville, NJ 08872-1929
Phone
(908) 420-1625
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
46TA09128000NJMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TA09128000 NJ Yes

Addresses

Primary practice location

39 Ridge Ave
Sayreville, NJ 08872-1929

Mailing address

39 Ridge Ave
Sayreville, NJ 08872-1929
Phone (908) 420-1625

Other providers in Sayreville, NJ

All providers in Sayreville, NJ · Occupational Therapy Assistant in New Jersey

Sources for this page

Verify at the official NPI Registry.