Individual
MISS CHANA B BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
132 HEARTH CT, LAKEWOOD, NJ 08701
(732) 886-9454
Mailing address
132 HEARTH CT, LAKEWOOD, NJ 08701
(732) 886-9454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019111-1
NY
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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