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NPI Code Detail

MEDICARE: CHAYA LEAH MAYER OTR

MEDICARE: CHAYA LEAH MAYER OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1528576113
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAYA LEAH MAYER OTR
Provider Business Mailing Address
First Line : 12 LONDON AVENUE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701
Country : UM
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 945 RIVER AVE STE 201
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5675
Country : US
Telephone Number : 732-833-3723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2018
Last Update Date : 01/17/2018

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Directions to “ CHAYA LEAH MAYER OTR” Practice Location

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