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NPI Code Detail

MEDICARE: HENYA CHAYA WEINSTEIN OT

MEDICARE: HENYA CHAYA WEINSTEIN 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
1225X00000XOccupational Therapist46TR00505000NJ

General Provider Information

NPI Number : 1336575836
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENYA CHAYA WEINSTEIN OT
Provider Business Mailing Address
First Line : 724 ALBERT AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5413
Country : US
Telephone Number : 732-363-7937
Fax Number :
Provider Business Practice Location Address
First Line : 125 NED DR
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5101
Country : US
Telephone Number : 732-363-7937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2013
Last Update Date : 09/17/2013

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Directions to “ HENYA CHAYA WEINSTEIN OT” Practice Location

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