Provider Demographics
NPI:1164860607
Name:LUKINS, STEFANIE WARNER (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:WARNER
Last Name:LUKINS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:457 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6724
Mailing Address - Country:US
Mailing Address - Phone:732-267-6075
Mailing Address - Fax:
Practice Address - Street 1:3349 HIGHWAY 138 EAST, BUILDING B SUITE A
Practice Address - Street 2:ABILITIES IN ACTION
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08724
Practice Address - Country:US
Practice Address - Phone:732-280-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00527900225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics