Individual
VIDYA PINGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
300 KNICKERBOCKER RD, 3600, CRESSKILL, NJ 07626-1350
(973) 534-3474
Mailing address
310 CLIFFSIDE PARK, UNIT 2G, CLIFFSIDE PARK, NJ 07010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00255200
NJ
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
46TR00255200
NJ
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00255200
NJ
Other
Enumeration date
03/20/2013
Last updated
05/21/2013
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