Healthcare Provider Details

I. General information

NPI: 1750406591
Provider Name (Legal Business Name): ZAHAVA LEAH DEUTSCH OTR L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 DAVIS ROAD
LAKEWOOD NJ
08701-3146
US

IV. Provider business mailing address

24 DAVIS ROAD
LAKEWOOD NJ
08701-3146
US

V. Phone/Fax

Practice location:
  • Phone: 732-363-1992
  • Fax: 732-370-1973
Mailing address:
  • Phone: 732-363-1992
  • Fax: 732-370-1973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: