Provider Demographics
NPI:1164476685
Name:JUNANKAR, ASHA P (MS OTR, CHT)
Entity Type:Individual
Prefix:MRS
First Name:ASHA
Middle Name:P
Last Name:JUNANKAR
Suffix:
Gender:F
Credentials:MS OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1279 RTE 23
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5823
Mailing Address - Country:US
Mailing Address - Phone:973-686-0007
Mailing Address - Fax:973-686-0001
Practice Address - Street 1:1279 RTE 23
Practice Address - Street 2:SUITE 201
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5823
Practice Address - Country:US
Practice Address - Phone:973-686-0007
Practice Address - Fax:973-686-0001
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223197291OtherTAX ID NUMBER
NJ094604Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER