MEDICARE: ANDREA SABLE FINKELSTEIN OT

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
1	225X00000X	Occupational Therapist	46TR00107600	NJ

General Provider Information

NPI Number	:	1255639852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA SABLE FINKELSTEIN OT

Provider Business Mailing Address
First Line	:	27 ELDORADO DR
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-6568
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 ELDORADO DR
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-6568
Country	:	US
Telephone Number	:	973-696-1331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2011
Last Update Date	:	03/05/2011

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