Individual
MARTHA PAGNILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
750 ROUTE 10, WHIPPANY, NJ 07981-1131
(973) 500-2300
Mailing address
775 WILLICK RD, CLARK, NJ 07066-1915
(201) 725-7743
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
016327-1
NY
225X00000X
Occupational Therapist
Primary
46TR00623800
NJ
225X00000X
Occupational Therapist
OT16424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013037300
—
FL
05
—
014322900
—
FL
Enumeration date
05/17/2011
Last updated
04/01/2025
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