Healthcare Provider Details

I. General information

NPI: 1710014220
Provider Name (Legal Business Name): HARSHEEN KAUR PASRICHA OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 RIVERWALK WAY
CLIFTON NJ
07014-1727
US

IV. Provider business mailing address

105 RIVERWALK WAY
CLIFTON NJ
07014
US

V. Phone/Fax

Practice location:
  • Phone: 973-668-5114
  • Fax:
Mailing address:
  • Phone: 973-668-5114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number46TR00280300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: