Provider Demographics
NPI:1477217123
Name:UPADHYAYA, NATASHA
Entity Type:Individual
Prefix:MISS
First Name:NATASHA
Middle Name:
Last Name:UPADHYAYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 BARON LN
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5686
Mailing Address - Country:US
Mailing Address - Phone:732-771-5324
Mailing Address - Fax:
Practice Address - Street 1:175 BARON LN
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5686
Practice Address - Country:US
Practice Address - Phone:732-771-5324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist