Doctor Name: | JUDITH WEINBERGER |
NPI Number: | 1093198756 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0022531 |
Business Practice Address: | 12-15 Saddle River Rd Fair Lawn, NJ - 074105808 |
Business Phone Number: | 2017979522 |
Business Fax Number: | |
Mailing Address: | 12-15 Saddle River Rd, FAIR LAWN |
State: | NJ |
Postal Code: | 074105808 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/30/2015 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XN1300X |
License Number: | 0022531 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Neurorehabilitation |
Taxonomy Definition: |