Individual
DR. PRASHANT M JUNANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, OTR, PHD
Contact information
Practice address
61 LAKEVIEW AVE, CLIFTON, NJ 07011-4041
(973) 772-8006
Mailing address
61 LAKEVIEW AVE, CLIFTON, NJ 07011-4041
(973) 772-8006
(973) 772-0907
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
46TR001184
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223197291
TAX ID NYMBEER
NJ
01
—
46TR118400
STATE OF NJ LICENSE
NJ
Enumeration date
05/19/2006
Last updated
08/16/2021
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