Individual
HENYA CHAYA WEINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
125 NED DR, LAKEWOOD, NJ 08701-5101
(732) 363-7937
Mailing address
724 ALBERT AVE, LAKEWOOD, NJ 08701-5413
(732) 363-7937
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00505000
NJ
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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