Provider Demographics
NPI:1538424957
Name:TURITZ, JEFFREY (OTR/L)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:
Last Name:TURITZ
Suffix:
Gender:M
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 1:67 FAIRHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1019
Mailing Address - Country:US
Mailing Address - Phone:914-420-5372
Mailing Address - Fax:
Practice Address - Street 1:67 FAIRHAVEN DR
Practice Address - Street 2:
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1019
Practice Address - Country:US
Practice Address - Phone:914-420-5372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00274500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist