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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LORINE STACI FORMAN, OTRL

Active Sole Proprietor

MRS. LORINE STACI FORMAN, OTRL is a Occupational Therapist healthcare provider located in PENNINGTON, New Jersey. NPI 1235253873 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · PENNINGTON, NJ

Registration Details

NPI Number
1235253873
Provider Type
Individual
Gender
Female
NPI Issued
Mar 19, 2007 (19.372453844846 yrs)
Last Updated
Mar 24, 2022
Licenses
OC009978 (PA)
46TR00110900 (NJ)
Sole Proprietor
Yes

Practice Information

Address
800 DENOW RD STE U
PENNINGTON, NJ, 085345246
Browse NJ providers · Browse ZIP 08534
Phone
6097378131
Fax
2018470985
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in PENNINGTON, NJ

Name Credential NPI
TYLER MICHAEL MACDONALD MOT, OTR/L 1285224964
ANASTASIA BLOOD MS OTR/L 1255924106
DR. NATALIE CORONADO OTD, OTR/L 1013638782
ELIZABETH KIDNEY OTR/L 1932071339
BRITTANY FERRARO OTR/L CLT 1043187875
KRISTINE ISMAEL 1346193109
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.