Organization
VIDYA PINGALE LLC
Active
Organization
VIDYA PINGALE LLC
Active
Other names
The Therapy Work
Organization subpart
No
Provider details
NPI number
Authorized official
VIDYA PINGALE MS OTR (DIRECTOR/ OT)
(973) 534-3474
Entity
Organization
Contact information
Practice address
300 KNICKERBOCKER RD STE 3600, CRESSKILL, NJ 07626-1349
(973) 534-3474
(973) 534-3474
Mailing address
123 CEDAR ST, CLIFFSIDE PARK, NJ 07010-1003
(973) 534-3474
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00255200
NJ
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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