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

EDIT PUNK, PTA

Active

EDIT PUNK, PTA is a Occupational Therapist healthcare provider located in RANDOLPH, New Jersey. NPI 1679070056 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · RANDOLPH, NJ

Registration Details

NPI Number
1679070056
Provider Type
Individual
Gender
Female
NPI Issued
Apr 11, 2018 (8.2987981305963 yrs)
Last Updated
Apr 11, 2018
License
40QB00343600 (NJ)

Practice Information

Address
540 ROUTE 10 W
RANDOLPH, NJ, 078692026
Browse NJ providers · Browse ZIP 07869
Phone
9733666615
Fax
9733669427
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in RANDOLPH, NJ

Name Credential NPI
ALEXANDRE BANHON PTA 1093738452
MRS. SUZANNE M BOWEN PTA 1821233057
MELISSA MIELCZAREK 1376892869
NINA RIMARENKO PTA 1811329865
JENNIFER B. WATHNE PTA 1467900712
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.