Individual
LISA MARIE PINKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
28-12 BROADWAY, FAIR LAWN, NJ 07410-3924
(201) 475-8482
Mailing address
132 ROCKVILLE AVE, STATEN ISLAND, NY 10314-3721
(646) 226-2135
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
017807-1
NY
225X00000X
Occupational Therapist
Primary
46TR00604100
NJ
Other
Enumeration date
08/29/2013
Last updated
09/22/2022
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