Provider Demographics
NPI:1194829804
Name:NAIR, AMITRAJ P (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:AMITRAJ
Middle Name:P
Last Name:NAIR
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 1:6 SHEFFIELD CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-4294
Mailing Address - Country:US
Mailing Address - Phone:732-940-0014
Mailing Address - Fax:732-940-0014
Practice Address - Street 1:ROUTE 1 AND ROUTE 18
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:732-828-2400
Practice Address - Fax:732-828-2494
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00062600225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist