Provider Demographics
NPI:1457656811
Name:CHAUDRY, NADIA R (OT)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:R
Last Name:CHAUDRY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41-04 GOLDBLATT TER
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-5911
Mailing Address - Country:US
Mailing Address - Phone:201-314-1999
Mailing Address - Fax:201-703-6982
Practice Address - Street 1:35 PIERMONT RD STE B
Practice Address - Street 2:
Practice Address - City:ROCKLEIGH
Practice Address - State:NJ
Practice Address - Zip Code:07647-2702
Practice Address - Country:US
Practice Address - Phone:201-750-8310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-17
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00481800225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist