Individual
CINDY PENDERGRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
24 LAKEVIEW DR, OLD TAPPAN, NJ 07675-7065
(845) 664-0015
Mailing address
24 LAKEVIEW DR, OLD TAPPAN, NJ 07675-7065
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
014867-1
NY
225X00000X
Occupational Therapist
Primary
46TR00465400
NJ
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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