Provider Demographics
NPI:1134392624
Name:PARIKH, PAYAL B (OTR/L)
Entity type:Individual
Prefix:
First Name:PAYAL
Middle Name:B
Last Name:PARIKH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 BUTTONWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-4201
Mailing Address - Country:US
Mailing Address - Phone:248-860-4343
Mailing Address - Fax:
Practice Address - Street 1:5801 BUTTONWOOD CT
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-4201
Practice Address - Country:US
Practice Address - Phone:248-860-4343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00383500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist