Provider Demographics
NPI:1497480446
Name:SPIEWAK, ADINA T (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ADINA
Middle Name:T
Last Name:SPIEWAK
Suffix:
Gender:F
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 1:1390 TEANECK RD APT F
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-5028
Mailing Address - Country:US
Mailing Address - Phone:917-685-4643
Mailing Address - Fax:
Practice Address - Street 1:1390 TEANECK RD APT F
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-5028
Practice Address - Country:US
Practice Address - Phone:917-685-4643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics